Provider Demographics
NPI:1225108780
Name:NATIONAL JEWISH MEDICAL AND RESEARCH CENTER
Entity Type:Organization
Organization Name:NATIONAL JEWISH MEDICAL AND RESEARCH CENTER
Other - Org Name:NJC HEALTH INITIATIVES DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR CTC
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-398-1815
Mailing Address - Street 1:1400 JACKSON ST
Mailing Address - Street 2:HEALTH INITIATIVES
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2761
Mailing Address - Country:US
Mailing Address - Phone:303-398-1057
Mailing Address - Fax:
Practice Address - Street 1:1400 JACKSON ST
Practice Address - Street 2:HEALTH INITIATIVES
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2761
Practice Address - Country:US
Practice Address - Phone:303-398-1057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherEIN