Organization
COLORADO COALITION FOR THE HOMELESS
Active
Other names
CCH- Administration/Clinical & Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
PETE J STOLLER (CFO)
(303) 312-9606
Entity
Organization
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2217
(303) 293-2309
Mailing address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2217
(303) 293-2309
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
CO DOES NOT REQUIRE
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061954
MEDICARE
CO
05
—
35106255
—
CO
Enumeration date
01/08/2015
Last updated
08/11/2020
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