Organization
COLORADO STATE UNIVERSITY
Active
Other names
Hartshorn Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BLOM MBA (DIRECTOR)
(970) 491-1470
Entity
Organization
Contact information
Practice address
151 WEST LAKE STREET, FORT COLLINS, CO 80523-8031
(970) 491-7121
(970) 491-6965
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000147759
—
CO
Enumeration date
10/10/2006
Last updated
09/26/2022
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