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Organization
NATIONAL JEWISH HEALTH
Active
Organization
NATIONAL JEWISH HEALTH
Active
Other names
National Jewish Northern Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MEDINA (DIRECTOR, MEDICAL STAFF SERVICES)
(303) 388-4461
Entity
Organization
Contact information
Practice address
NATIONAL JEWISH NORTH, 9451 HURON STREET, THORNTON, CO 80260-5426
(303) 650-4042
(303) 650-4046
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2762
(303) 388-4461
(303) 270-2366
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500112
—
CO
01
—
1326015777
MEDICAID OFFSHOOT
CO
Enumeration date
01/06/2020
Last updated
01/19/2021
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