Organization
AWAKEN IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WINGO (CEO)
(303) 929-0946
Entity
Organization
Contact information
Practice address
5277 MANHATTAN CIR STE 260, BOULDER, CO 80303-8201
(303) 409-3690
Mailing address
5277 MANHATTAN CIR STE 260, BOULDER, CO 80303-8201
(303) 409-3690
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us