# CO PACS 2 PC

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

## Provider details

- **NPI number:** 1154807055
- **Authorized official:** DARIN RENTZ DO (OWNER / PRESIDENT)
- **Authorized official phone:** (865) 693-1000

## Contact information

- **Practice address:** 150 SPRING ST, MORRISON, CO 80465-2532
- **Practice address phone:** (865) 693-1000
- **Mailing address:** 265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
- **Mailing address phone:** (865) 693-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/13/2018
- **Last updated:** 07/13/2018
