Provider Demographics
NPI:1265598387
Name:COLORADO HEART INSTITUTE LLC
Entity type:Organization
Organization Name:COLORADO HEART INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BATTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-369-7565
Mailing Address - Street 1:1455 S POTOMAC ST STE 101
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4501
Mailing Address - Country:US
Mailing Address - Phone:303-369-7565
Mailing Address - Fax:303-369-7112
Practice Address - Street 1:1455 S POTOMAC ST STE 101
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4501
Practice Address - Country:US
Practice Address - Phone:303-369-7565
Practice Address - Fax:303-369-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800727Medicare PIN