Provider Demographics
NPI:1558993436
Name:5900 HEALTH LLC
Entity Type:Organization
Organization Name:5900 HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:BRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STONEBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-520-1818
Mailing Address - Street 1:7200 S ALTON WAY STE A270
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2249
Mailing Address - Country:US
Mailing Address - Phone:720-536-8427
Mailing Address - Fax:844-296-2998
Practice Address - Street 1:7200 S ALTON WAY STE A270
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2249
Practice Address - Country:US
Practice Address - Phone:720-536-8427
Practice Address - Fax:844-296-2998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty