Provider Demographics
NPI:1295495653
Name:THE UROLOGY CENTER OF COLORADO PC
Entity type:Organization
Organization Name:THE UROLOGY CENTER OF COLORADO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:KELSIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-762-7152
Mailing Address - Street 1:2777 MILE HIGH STADIUM CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5222
Mailing Address - Country:US
Mailing Address - Phone:303-825-8822
Mailing Address - Fax:
Practice Address - Street 1:2222 N NEVADA AVE STE 2025
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6819
Practice Address - Country:US
Practice Address - Phone:719-882-8822
Practice Address - Fax:719-387-5775
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UROLOGY CENTER OF COLORADO PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty