Provider Demographics
NPI:1972555928
Name:COLORADO PERSONNEL RESOURCES INC
Entity Type:Organization
Organization Name:COLORADO PERSONNEL RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMI
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRUBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-231-3233
Mailing Address - Street 1:3000 S JAMAICA CT
Mailing Address - Street 2:#140
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:303-755-3201
Mailing Address - Fax:303-755-3204
Practice Address - Street 1:3000 S JAMAICA CT
Practice Address - Street 2:#140
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-755-3201
Practice Address - Fax:303-755-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79805841Medicaid
COC802022Medicare PIN