Provider Demographics
NPI:1356085468
Name:COLORADO CENTER FOR ARTHRITIS AND OSTEOPOROSIS
Entity Type:Organization
Organization Name:COLORADO CENTER FOR ARTHRITIS AND OSTEOPOROSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING RESOURCE
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-494-4700
Mailing Address - Street 1:1715 IRON HORSE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-9617
Mailing Address - Country:US
Mailing Address - Phone:720-494-4700
Mailing Address - Fax:720-494-4706
Practice Address - Street 1:11990 GRANT ST STE 108
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1122
Practice Address - Country:US
Practice Address - Phone:720-494-7000
Practice Address - Fax:720-494-4706
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO CENTER FOR ARTHRITIS AND OSTEOPOROSIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO52526739Medicaid