# CAROLINE TANOE HUMBLES

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

## Provider details

- **NPI number:** 1104284371
- **Authorized official:** LORI ROTHWELL (COMPLIANCE OFFICER)
- **Authorized official phone:** (303) 869-4664

## Contact information

- **Practice address:** 1265 S BROADWAY, DENVER, CO 80210-1503
- **Practice address phone:** (303) 894-0144
- **Mailing address:** 8950 E LOWRY BLVD, DENVER, CO 80230-7030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 0991721-NP | CO | Yes |

## Other

- **Enumeration date:** 02/03/2016
- **Last updated:** 02/03/2016