Provider Demographics
NPI:1093088940
Name:PHYHEALTH SLEEP CARE COLORADO INC
Entity Type:Organization
Organization Name:PHYHEALTH SLEEP CARE COLORADO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-659-5800
Mailing Address - Street 1:191 TELLURIDE ST
Mailing Address - Street 2:UNIT 5
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4355
Mailing Address - Country:US
Mailing Address - Phone:720-684-6167
Mailing Address - Fax:720-684-6059
Practice Address - Street 1:191 TELLURIDE ST
Practice Address - Street 2:UNIT 5
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4355
Practice Address - Country:US
Practice Address - Phone:720-684-6167
Practice Address - Fax:720-684-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20101632740261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic