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Organization

NATIONAL JEWISH HEALTH

Active
Parent organization
NATIONAL JEWISH HEALTH
Other names
National Jewish Health Provider Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL JEWISH HEALTH
Authorized official
MS. VICKI MEDINA (DIRECTOR, MEDICAL STAFF SERVICES)
(303) 388-4461
Entity
Organization

Contact information

Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04001905
CO
01
CJ6004
MEDICARE PTAN
CO
Enumeration date
10/02/2020
Last updated
01/18/2021
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