NPIMap

Organization Active NPI

Colorado Mental Health Institute Fort Logan

  • Institutional Pharmacy
  • Denver, CO
National Provider Identifier
1689733479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
COLORADO MENTAL HEALTH INSTITUTE FORT LOGAN
Practice address
3520 W Oxford Ave
Denver, CO 80236-3108
Phone
(303) 866-7149
NPI assigned
Dec 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kat Foo
Title
Compliance Officer
Phone
(303) 866-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X CO Primary

Addresses

Primary practice location

3520 W Oxford Ave
Denver, CO 80236-3108

Mailing address

1600 W 24TH St
Pueblo, CO 81003-1411
Phone (719) 546-4000

Other identifiers 1

IdentifierTypeStateIssuer
0602943OtherCONCPDP MEDICARE PART D

Other names 1

  • CMHIFL Other name

National Provider Directory

National Provider Directory
Tax ID family
State of Colorado Department of Public Health and Environment103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689733479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 24TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031411",
            "telephone_number": "719-546-4000",
            "fax_number": "719-546-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W OXFORD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363108",
            "telephone_number": "303-866-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MENTAL HEALTH INSTITUTE FORT LOGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOO",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "303-866-5871"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP MEDICARE PART D",
            "identifier": "0602943",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMHIFL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.