Organization
COLORADO COALITION FOR THE HOMELESS
Active
Other names
Stout Street Clinic at St Francis Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETE J STOLLER (CFO)
(303) 312-9606
Entity
Organization
Contact information
Practice address
1001 PARK AVE W, DENVER, CO 80205-2605
(303) 244-0760
(303) 292-2091
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2217
(303) 293-2309
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79007074
—
CO
Enumeration date
02/09/2009
Last updated
01/02/2025
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