Organization
HARTSHORN HEALTH SERVICE
Active
Parent organization
COLORADO STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO STATE UNIVERSITY
Authorized official
MR. STEPHEN BLOM MBA (DIRECTOR)
(970) 491-1470
Entity
Organization
Contact information
Practice address
8301 CAMPUS DELIVERY, FORT COLLINS, CO 80523-8031
(970) 491-7121
(970) 491-0226
Mailing address
8301 CAMPUS DELIVERY, FORT COLLINS, CO 80523-8031
(970) 491-7121
(970) 491-0226
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0832
CO
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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