# CO PACS 2 PC

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

## Provider details

- **NPI number:** 1619633237
- **Authorized official:** SANDRA BAKERINK (PROVIDER ENROLLMENT DIRECTOR)
- **Authorized official phone:** (865) 500-1325

## Contact information

- **Practice address:** 14699 E HAMPDEN AVE, AURORA, CO 80014-3903
- **Practice address phone:** (303) 693-0111
- **Mailing address:** 1643 NW 136TH AVENUE, BUILDING H, SUITE 100 MSC 11607-001, SUNRISE, FL 33323-2857
- **Mailing address phone:** (865) 500-1325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 11/09/2021