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 - Laramie - MP
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
204 MCCOLLUM ST STE 203, LARAMIE, WY 82070-5127
(307) 314-4242
Mailing address
13123 E 16TH AVE # B095, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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