Provider Demographics
NPI:1811328032
Name:DENVER HEALTH AND HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:DENVER HEALTH AND HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AUDAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-602-4965
Mailing Address - Street 1:1001 YOSEMITE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6003
Mailing Address - Country:US
Mailing Address - Phone:303-602-4639
Mailing Address - Fax:303-602-4646
Practice Address - Street 1:1001 YOSEMITE ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6003
Practice Address - Country:US
Practice Address - Phone:303-602-4639
Practice Address - Fax:303-602-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16800000523336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0624608Medicaid
2143789OtherPK
CO28358562Medicaid