NPIMap

Organization Active NPI

The Regents of the University of Colorado

Doing business as CU Youth Health Clinic at Urban Peak

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
National Provider Identifier
1982425674
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THE REGENTS OF THE UNIVERSITY OF COLORADO
Doing business as
CU Youth Health Clinic at Urban Peak
Practice address
1630 S Acoma St
Denver, CO 80223-3602
Phone
(303) 315-6199
Fax
(855) 919-4349
NPI assigned
Oct 24, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE REGENTS OF THE UNIVERSITY OF COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Tracey Phillips
Title
Billing & Finance Lead
Phone
(303) 315-6176

Specialties & licenses 1

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

Addresses

Primary practice location

1630 S Acoma St
Denver, CO 80223-3602

Mailing address

3525 W Oxford Ave Unit G-1
Denver, CO 80236-3112
Phone (303) 315-6176

Other names 1

  • CU Youth Health Clinic at Urban Peak Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814002111 CO Part A Provider - Federally Qualified Health Center (FQHC) 7012810716 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982425674. Details of each certification follow.

Federally qualified health center certification: CCN 061089

Legal name
REGENTS OF THE UNIVERSITY OF COLORADO
Doing business as
MEDCOR GROUP INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 22, 2025
Last certification
Jul 22, 2025
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
1630 S Acoma St
FL 1
Denver, CO 80223-3602

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Biochemical Genetics la56 organizations share this tax ID, including this one
Part of
Biochemical Genetics la

Organizations with this tax ID in the same state 12

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

Locations

12635 E Montview Blvd
Ste 300
Aurora, CO 80045
Phone (303) 724-0535

13001 E 17th Ave
Bldg 500
Aurora, CO 80045
Phone (303) 724-0168

1330 S Potomac St
Ste 104A
Aurora, CO 80012
Phone (303) 283-2659

750 Potomac St
Ste L11
Aurora, CO 80011
Phone (303) 283-5991

Wardenburg And 18th St
Boulder, CO 80309

4863 N Nevada Ave
Ste 321
Colorado Springs, CO 80918
Phone (719) 255-8002

1630 S Acoma St
Fl 1
Denver, CO 80223
Phone (303) 315-6150

1900 W Littleton Blvd
#103
Littleton, CO 80120
Phone (303) 738-9043

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Allan W Jahnke Individual OtherBoard Member May 21, 2025
Dwight Holmes Individual OtherBoard Member May 21, 2025
Fernando Pineda Reyes Individual Other May 21, 2025 10%
Adrian Quintana Individual OtherBoard Member May 21, 2025 10%
Xiomara Sanchez Individual OtherBoard Member May 21, 2025 10%
Tracey Phillips Individual Operational/Managerial Control Sep 15, 2015
Regents of the University of Colorado Organization, Aurora, CO 5% Or Greater Direct Ownership Interest May 21, 2025 100%
Erica L Sherer Individual Operational/Managerial ControlCeo Sep 18, 2012
Elizabeth Holmes Individual OtherBoard Member May 21, 2025
Diego Romero Individual OtherBoard Member May 21, 2025 10%
Sally Daigle Individual Other May 21, 2025 10%
Kathie Jahnke Individual OtherBoard Member May 21, 2025 10%

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sheridan Health ServicesDenver, CO, CCN 061931 Federally qualified health center Operational/Managerial Control (100%) Mar 1, 2011
Cu Family Health Clinic at Belleview PointAurora, CO, CCN 061037 Federally qualified health center Operational/Managerial Control (100%) Sep 1, 2005

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1982425674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W OXFORD AVE UNIT G-1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363112",
            "telephone_number": "303-315-6176",
            "fax_number": "833-441-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802233602",
            "telephone_number": "303-315-6199",
            "fax_number": "855-919-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE REGENTS OF THE UNIVERSITY OF COLORADO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "BILLING & FINANCE LEAD",
        "authorized_official_telephone_number": "303-315-6176"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CU Youth Health Clinic at Urban Peak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.