Organization
CHILDREN'S HOSPITAL COLORADO
Active
Organization
CHILDREN'S HOSPITAL COLORADO
Active
Parent organization
CHILDREN'S HOSPITAL COLORADO
Other names
Children's Colorado Regional Outreach Clinic - Cheyenne - CCC
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
2301 HOUSE AVE STE 405, CHEYENNE, WY 82001-3180
(307) 635-7961
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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