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Denver Health and Hospital Authority

Organization Active NPI Federally Qualified Health Center (FQHC) · Denver, CO

NPI 1841231990 · NPPES record last updated Jan 16, 2025

Key facts

NPI
1841231990
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
0900 (CO)
Legal business name
DENVER HEALTH AND HOSPITAL AUTHORITY
Practice address
777 Bannock St
Denver, CO 80204-4507
Phone
(303) 436-6000
NPI assigned
Jun 9, 2006
Organization subpart
No

Authorized official

Name
April Audain
Title
Chief Financial Officer
Phone
(303) 602-4965

Owners & managing parties with NPI records 20

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 831

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 831

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Federally qualified health center certification: CCN 061876

Legal name
DENVER HEALTH AND HOSPITAL AUTHORITY
Doing business as
MOBILE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 21, 2003
Last certification
Apr 21, 2003
Ownership / control type
Non-profit – other
Organization structure
Other · Non-profit
Enrollment address
777 Bannock St
Denver, CO 80204-4507
Related CCNs
060011

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Dean
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Frank Verloin Degruy
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Peggy Burnette
Individual 		Corporate Officer
Chief Revenue Officer		 Jan 1, 2024
Thomas Kim
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Denver Health and Hospital Authority
Organization · Denver, CO 		5% Or Greater Direct Ownership Interest Jan 1, 1997 100%
Elias Provencio-Vasquez
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Richard Jim Chavez
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Hollie Velasquez-Horvath
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Lilia Cervantes
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Kathryn Nesbitt
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Danielle Shoots
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Patti Klinge
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Jeremy Springston
Individual 		W-2 Managing Employee
Director of Reimbursement		 Jan 1, 2021

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Denver Health Medical Center
Denver, CO · CCN 060011		 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1997
Denver Health Medical Center - Psych Unit
Denver, CO · CCN 06S011		 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1997
Wellington E Webb Center for Primary Care
Denver, CO · CCN 061821		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Montbello Family Health Center
Denver, CO · CCN 061848		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Park Hill Family Health Center
Denver, CO · CCN 061826		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Eastside Family Health Center
Denver, CO · CCN 061822		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Westside Family Health Center
Denver, CO · CCN 061829		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Lowry Family Health Center
Denver, CO · CCN 061847		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
La Casa/ Quigg Newton Family Health Center
Denver, CO · CCN 061828		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Westwood Family Health Center
Denver, CO · CCN 061824		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1997
Denver Health and Hospital Authority
Denver, CO · CCN 061972		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1997
Primary Care Clinic at Wellpower
Denver, CO · CCN 061013		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1997

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030421000008 CO Part a Provider - Federally Qualified Health Center (FQHC) 4688583578 Practice locations: Denver, CO

National Provider Directory

Tax ID family
Denver Health and Hospital Authority (86 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0900 CO Yes

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4507

Mailing address

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

Other identifiers

IdentifierTypeStateIssuer
55720536MedicaidCO

Other names

  • Mobile Health Services Doing business as

Other providers in Denver, CO

All providers in Denver, CO · Federally Qualified Health Center (FQHC) in Colorado

Sources for this page

Verify at the official NPI Registry.