Provider Demographics
NPI:1225113012
Name:COLORADO DIVISION OF WORKERS' COMPENSATION
Entity Type:Organization
Organization Name:COLORADO DIVISION OF WORKERS' COMPENSATION
Other - Org Name:COLORADO CHARTER SCHOOL INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LULA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-662-1220
Mailing Address - Street 1:1580 LOGAN ST
Mailing Address - Street 2:SUITE 760
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1939
Mailing Address - Country:US
Mailing Address - Phone:303-866-3299
Mailing Address - Fax:303-866-2530
Practice Address - Street 1:1601 VINE STREET
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206
Practice Address - Country:US
Practice Address - Phone:303-662-1220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO DIVISION OF WORKERS' COMPENSATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-27
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)