Provider Demographics
NPI:1356514376
Name:ARVADA WOMENS HEALTHCARE
Entity type:Organization
Organization Name:ARVADA WOMENS HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BESCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:303-425-0500
Mailing Address - Street 1:5730 WARD RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1300
Mailing Address - Country:US
Mailing Address - Phone:303-425-0500
Mailing Address - Fax:303-425-1009
Practice Address - Street 1:5730 WARD ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3923
Practice Address - Country:US
Practice Address - Phone:303-425-0500
Practice Address - Fax:303-425-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17417207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC462328Medicare PIN