Provider Demographics
NPI:1578232328
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:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MACKENZIE
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:HELLWIG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
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 1:1910 COALTON RD
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-4674
Practice Address - Country:US
Practice Address - Phone:720-494-4700
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:2021-09-07
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty