Provider Demographics
NPI:1477172088
Name:HEALTH ORGANIZATION MANAGEMENT ENTERPRISES, LLC
Entity Type:Organization
Organization Name:HEALTH ORGANIZATION MANAGEMENT ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-842-1441
Mailing Address - Street 1:1515 REDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1115
Mailing Address - Country:US
Mailing Address - Phone:303-842-1441
Mailing Address - Fax:
Practice Address - Street 1:1515 REDWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1115
Practice Address - Country:US
Practice Address - Phone:303-842-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty