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Organization

CHILDREN'S HOSPITAL COLORADO

Active
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Organization

CHILDREN'S HOSPITAL COLORADO

Active
Parent organization
CHILDREN'S HOSPITAL COLORADO
Other names
Children's Colorado Regional Outreach Clinic - Casper - WCPS
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S HOSPITAL COLORADO
Authorized official
LINDA MICHAEL (VP, CHIEF COMPLIANCE OFFICER)
(720) 777-6537
Entity
Organization

Contact information

Practice address
1230 E 1ST ST, CASPER, WY 82601-2704
(307) 266-3174
Mailing address
13123 E 16TH AVE # B095, AURORA, CO 80045-7106
(720) 777-1234
(720) 777-7257

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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