Provider Demographics
NPI:1265007199
Name:FEDERAL HEALTHCARE AT HARLAN
Entity Type:Organization
Organization Name:FEDERAL HEALTHCARE AT HARLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:COVINGTON
Authorized Official - Last Name:SPRINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-437-5371
Mailing Address - Street 1:4120 FEDERAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1638
Mailing Address - Country:US
Mailing Address - Phone:303-437-5371
Mailing Address - Fax:888-879-1516
Practice Address - Street 1:4120 FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1638
Practice Address - Country:US
Practice Address - Phone:303-437-5371
Practice Address - Fax:888-879-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty