# STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093745804
- **Authorized official:** DENNIS E ELLIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (303) 692-2012

## Contact information

- **Practice address:** 4300 CHERRY CREEK SOUTH DR, ATTN: PRIVACY OFFICER A-5, DENVER, CO 80246-1530
- **Practice address phone:** (303) 692-2311
- **Mailing address:** 4300 CHERRY CREEK SOUTH DR, ATTN: PRIVACY OFFICER A-5, DENVER, CO 80246-1530
- **Mailing address phone:** (303) 692-2311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/22/2020