Provider Demographics
NPI:1679710438
Name:COLORADO ALLIANCE FOR HEALTH EQUITY AND PRACTICE
Entity Type:Organization
Organization Name:COLORADO ALLIANCE FOR HEALTH EQUITY AND PRACTICE
Other - Org Name:COLORADO ASIAN HEALTH CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALOK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:3039-954-0058
Mailing Address - Street 1:5950 LEETSDALE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246
Mailing Address - Country:US
Mailing Address - Phone:303-954-0058
Mailing Address - Fax:303-997-6325
Practice Address - Street 1:5950 LEETSDALE
Practice Address - Street 2:SUITE 110
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:303-954-0058
Practice Address - Fax:303-997-6325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18J166251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO18J166OtherCOMMUNITY CLINIC