Children'S Hospital Colorado
Organization Active NPI Multi-Specialty Clinic/Center · Durango, CO
NPI 1760062327 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1760062327
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CHILDREN'S HOSPITAL COLORADO
- Practice address
- 810 E 3Rd St Unit 301
Durango, CO 81301-5760 - Phone
- (970) 375-0105
- NPI assigned
- Apr 8, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- CHILDREN'S HOSPITAL COLORADO
Authorized official
- Name
- Linda Michael
- Title
- VP, Chief Compliance Officer
- Phone
- (720) 777-6537
Other NPIs on the same Medicare enrollment 9
Practitioners 11
-
Abigail Suzanne Angulo, M.D.
-
Elizabeth M Coan, PSY.D.
-
Maritza Cobian, PSYD
-
Sandra Friedman, MD
-
Benjamin H Hughes, M.D.
-
Stephen S Newton, M.D.
-
Ann Reynolds, MD
-
Jason Soden, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151006000071 | CO | Part B Supplier - Clinic/Group Practice | 3274447925 |
Receives reassigned benefits from 1 practitioner 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aurora, CO; Colorado Springs, CO |
National Provider Directory
- Part of
- Childrens Hospital Colorado
Locations
1214 Oak Park Dr
Fort Collins, CO 80525
Phone (970) 226-6225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
810 E 3Rd St Unit 301
Durango, CO 81301-5760
Mailing address
13123 E 16TH Ave # B095
Aurora, CO 80045-7106
Phone (720) 777-1234
Other names
- Children's Colorado Regional Outreach Clinic - Durango - PPSW
Other providers in Durango, CO
- Kayla Cheatham
- CHI National Home Care, LLC
- CHI National Home Care, LLC
- CHI National Home Care, LLC
- Child Wellness Center of the Southwest
- Chimney Rock Healthcare, Inc.
- Chimney Rock Healthcare, Inc.
- Steven Christensen
- Christopher R. Hanosh MD PC
- Chrysalis Counseling
All providers in Durango, CO · Multi-Specialty Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.