Organization
NATIONAL JEWISH HEALTH
Active
Other names
National Jewish Northern Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MEDINA (DIRECTOR, MEDICAL STAFF SERVICES)
(303) 388-4461
Entity
Organization
Contact information
Practice address
NATIONAL JEWISH NORTH, 9451 HURON STREET, THORNTON, CO 80260-5426
(303) 650-4042
(303) 650-4046
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2762
(303) 388-4461
(303) 270-2366
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500112
—
CO
01
—
1326015777
MEDICAID OFFSHOOT
CO
Enumeration date
01/06/2020
Last updated
01/19/2021
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