Provider Demographics
NPI:1962860528
Name:COLORADO HEALTH PROVIDERS LLC
Entity Type:Organization
Organization Name:COLORADO HEALTH PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FEEBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-221-9451
Mailing Address - Street 1:PO BOX 889
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80539-0889
Mailing Address - Country:US
Mailing Address - Phone:970-221-9451
Mailing Address - Fax:877-535-9359
Practice Address - Street 1:7251 W 20TH ST # BLVDGN
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4625
Practice Address - Country:US
Practice Address - Phone:970-221-9451
Practice Address - Fax:877-535-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty