NPIMap

Organization Active NPI

Denver Health & Hospital Authority

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
National Provider Identifier
1881635977
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0900 Issued in CO
Legal business name
DENVER HEALTH & HOSPITAL AUTHORITY
Practice address
4545 Navajo St
Denver, CO 80211-2440
Phone
(303) 436-8700
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Ms. Peggy J Burnette, CPA
Title
Cfo
Phone
(303) 602-4964

Specialties & licenses 1

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

Addresses

Primary practice location

4545 Navajo St
Denver, CO 80211-2440

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
05050067MedicaidCO
06D0513231OtherCOCLIA

Other names 1

  • La Casa/Quigg Newton Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000715 CO Part A Provider - Federally Qualified Health Center (FQHC) 4688583578 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO

Federally qualified health center certification: CCN 061828

Legal name
DENVER HEALTH AND HOSPITAL AUTHORITY
Doing business as
LA CASA/ QUIGG NEWTON FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
Non-profit – corporation
Most recent change of ownership
Jan 1, 1997 (1 total)
Organization structure
OtherNon-profit
Enrollment address
4545 Navajo Street
La Casa/ Quigg Newton Family Health Center
Denver, CO 80211-2440
Related CCNs
060011

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

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 DirectorBoard Member Jan 1, 2017
Frank Verloin Degruy Individual Corporate DirectorBoard Member Jan 1, 2024
Peggy Burnette Individual Corporate DirectorChief Revenue Officer Jun 1, 2013
Thomas Kim Individual Corporate DirectorBoard Member Jan 1, 2024
Denver Health and Hospital Authority Organization, Denver, CO Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1997
Elias Provencio-Vasquez Individual Corporate DirectorBoard Member Jan 1, 2024
Richard Jim Chavez Individual Corporate DirectorBoard Member Jan 1, 2024
Hollie Velasquez-Horvath Individual Corporate DirectorBoard Member Jan 1, 2024
Lilia Cervantes Individual Corporate DirectorBoard Member Jan 1, 2024
Kathryn Nesbitt Individual Corporate DirectorBoard Member Jan 1, 2024
Danielle Shoots Individual Corporate DirectorBoard Member Jan 1, 2024
Patti Klinge Individual Corporate DirectorBoard Member Jan 1, 2024
Jeremy Springston Individual W-2 Managing EmployeeDirector of Reimbursement Jun 1, 2013

Owners & managing parties with NPI records 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1881635977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 NAVAJO ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112440",
            "telephone_number": "303-436-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER HEALTH & HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-602-4964",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": "0900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05050067",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D0513231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Casa/Quigg Newton Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.