# HARTSHORN HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLORADO STATE UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235562117
- **Legal business name:** COLORADO STATE UNIVERSITY
- **Authorized official:** MR. STEPHEN BLOM MBA (DIRECTOR)
- **Authorized official phone:** (970) 491-1470

## Contact information

- **Practice address:** 8301 CAMPUS DELIVERY, FORT COLLINS, CO 80523-8031
- **Practice address phone:** (970) 491-7121
- **Practice address fax:** (970) 491-0226
- **Mailing address:** 8301 CAMPUS DELIVERY, FORT COLLINS, CO 80523-8031
- **Mailing address phone:** (970) 491-7121
- **Mailing address fax:** (970) 491-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0832 | CO | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 08/15/2013