OrganizationActive
Colorado Coalition for the Homeless
NPI 1336563014 · Federally Qualified Health Center (FQHC) · Las Animas, CO
Provider details
- NPI number
- 1336563014
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pete Stoller, Cfo(303) 312-9606
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30999 County Road 15 Bldg 5
Las Animas, CO 81054-9499
Phone: (719) 662-1100
Approximate (ZIP-level) locationGet directions
Mailing address
2111 Champa St
Denver, CO 80205-2529
Other names (DBA / former)
- Doing business as
- Ft. Lyon
Registry dates
- Enumerated
- 2014-02-14
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.