Provider Demographics
NPI:1578983334
Name:CHILDRENS HOSPITAL COLORADO
Entity Type:Organization
Organization Name:CHILDRENS HOSPITAL COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT SERVICE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:INONGE
Authorized Official - Middle Name:SHREE
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-777-6888
Mailing Address - Street 1:928 SOUTH BLACKHAWK ST. BLDG 27 APT 104
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012
Mailing Address - Country:US
Mailing Address - Phone:720-314-1913
Mailing Address - Fax:
Practice Address - Street 1:928 S BLACKHAWK ST APT 104
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3632
Practice Address - Country:US
Practice Address - Phone:720-314-1913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren