Provider Demographics
NPI:1811378037
Name:SCL HEALTH
Entity Type:Organization
Organization Name:SCL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE REP
Authorized Official - Prefix:
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-272-0811
Mailing Address - Street 1:500 ELDORADO BLVD
Mailing Address - Street 2:BLDG 6, STE 6250
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3408
Mailing Address - Country:US
Mailing Address - Phone:303-272-0811
Mailing Address - Fax:303-272-0740
Practice Address - Street 1:500 ELDORADO BLVD
Practice Address - Street 2:BLDG 6, STE 6250
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3408
Practice Address - Country:US
Practice Address - Phone:303-272-0811
Practice Address - Fax:303-272-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center