Provider Demographics
NPI:1578981726
Name:LITTLETON ADVENTIST HOSPITAL
Entity Type:Organization
Organization Name:LITTLETON ADVENTIST HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP PATIENT CARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:CNO
Authorized Official - Phone:303-734-3959
Mailing Address - Street 1:7700 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2602
Mailing Address - Country:US
Mailing Address - Phone:303-730-5881
Mailing Address - Fax:303-738-2645
Practice Address - Street 1:7700 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2602
Practice Address - Country:US
Practice Address - Phone:303-730-5881
Practice Address - Fax:303-738-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101052282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital