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State of Colorado — NPI 1285168583, Denver, CO | NPI Central

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NPI 1285168583

OrganizationActive

State of Colorado

NPI 1285168583 · Point of Service · Denver, CO

Provider details

NPI number: 1285168583
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Lyn Snow, Compliance Officer(303) 866-7149
License: LPC0011949 (CO)

Specialties & taxonomies

Point of ServicePrimary305S00000XLicense 727 (CO)
Managed Care Organizations
Point of Service305S00000XLicense LPC0011949 (CO)
Managed Care Organizations
Point of Service305S00000XLicense 302302 (MN)
Managed Care Organizations

Practice location

1575 Sherman Street

Cdhs

Denver, CO 80203

Phone: (303) 866-7149

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

1575 Sherman Street

Denver, CO 80203

Registry dates

Enumerated: 2017-04-13
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.