# WIZ QUIZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1225249121
- **Authorized official:** MS. ALYSON FORBES (MEMBER MANAGER)
- **Authorized official phone:** (303) 674-6824

## Contact information

- **Practice address:** 200 4TH ST., FAIRPLAY, CO 80440
- **Practice address phone:** (303) 674-6824
- **Practice address fax:** (303) 674-6823
- **Mailing address:** P. O. BOX 4058, EVERGREEN, CO 80437
- **Mailing address phone:** (303) 674-6824
- **Mailing address fax:** (303) 674-6823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020