Provider Demographics
NPI:1568723641
Name:SAINT ANTHONY'S HOSPITAL
Entity Type:Organization
Organization Name:SAINT ANTHONY'S HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CARDIAC REHAB DEPARTMEN
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CDE
Authorized Official - Phone:720-321-1665
Mailing Address - Street 1:11700 W. 2ND PLACE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228
Mailing Address - Country:US
Mailing Address - Phone:720-321-8311
Mailing Address - Fax:720-321-8301
Practice Address - Street 1:11700 W 2ND PL
Practice Address - Street 2:SUITE 310
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1704
Practice Address - Country:US
Practice Address - Phone:720-321-8311
Practice Address - Fax:720-321-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital