Provider Demographics
NPI:1962643288
Name:1ST ALLERGY ASTHMA AND PEDIATRICS TOO
Entity Type:Organization
Organization Name:1ST ALLERGY ASTHMA AND PEDIATRICS TOO
Other - Org Name:1ST ALLERGY & ASTHMA CENTERS/HORIZON PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-224-4717
Mailing Address - Street 1:8601 S. YOSEMITE ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1406
Mailing Address - Country:US
Mailing Address - Phone:303-773-9000
Mailing Address - Fax:720-488-4149
Practice Address - Street 1:3260 E 104TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4406
Practice Address - Country:US
Practice Address - Phone:720-929-8300
Practice Address - Fax:720-929-8444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1ST ALLERGY ASTHMA AND PEDIATRICS TOO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-17
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32130174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO76175286Medicaid