Provider Demographics
NPI:1982425674
Name:THE REGENTS OF THE UNIVERSITY OF COLORADO
Entity type:Organization
Organization Name:THE REGENTS OF THE UNIVERSITY OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING & FINANCE LEAD
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-315-6176
Mailing Address - Street 1:3525 W OXFORD AVE UNIT G-1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3112
Mailing Address - Country:US
Mailing Address - Phone:303-315-6176
Mailing Address - Fax:833-441-1944
Practice Address - Street 1:1630 S ACOMA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-3602
Practice Address - Country:US
Practice Address - Phone:303-315-6199
Practice Address - Fax:855-919-4349
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE REGENTS OF THE UNIVERSITY OF COLORADO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)