Provider Demographics
NPI:1093842213
Name:IVY MEDS OF DENVER, INC.
Entity Type:Organization
Organization Name:IVY MEDS OF DENVER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVARTHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-254-8169
Mailing Address - Street 1:8811 AMERICAN WAY
Mailing Address - Street 2:#150
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-254-8169
Mailing Address - Fax:303-432-9310
Practice Address - Street 1:8811 AMERICAN WAY
Practice Address - Street 2:#150
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-254-8169
Practice Address - Fax:303-432-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion