DEPT. OF CORRECTIONS-DWCF (NPI# 1174682934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174682934 |
| Entity Type | Organization |
| Organization Name | DEPT. OF CORRECTIONS-DWCF |
| Practice Address |
3600 Havana St Denver CO 80239-3266 |
| Practice Telephone | 3033072600 |
| Mailing Telephone | 3033072600 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MR. NATHAN POLLACK (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Telephone | 3033072600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
87883 | CO | Ambulatory Health Care Facilities |
| Street Address |
3600 HAVANA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80239-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150649 | Alexander Hadzagas | Counselor | 3600 Havana St, Denver, CO 80239-3266 | 2018-10-18 |
| 1972000339 | Rita Winn | Nurse Practitioner | 3600 Havana St, Denver, CO 80239-3266 | 2018-04-11 |
| 1669827929 | Tiffany Neary | Physician Assistant | 3600 Havana St, Denver, CO 80239-3266 | 2016-04-24 |
| 1083030571 | Debra Reilly | Physician Assistant | 3600 Havana St, Denver, CO 80239-3266 | 2014-03-09 |
| 1386962538 | Leslie Ann Holmes | Counselor | 3600 Havana St, Denver, CO 80239-3266 | 2010-05-12 |
| 1962623082 | Henry K Thomas | Dentist | 3600 Havana St, Clinical Services, Denver, CO 80239-3266 | 2007-05-02 |
| 1457418014 | Nancy Darlene Nola | Nurse Practitioner | 3600 Havana St, Denver, CO 80239-3266 | 2007-01-02 |
| 1447310388 | Hilary Somers Victoroff | Nurse Practitioner | 3600 Havana St, Denver, CO 80239-3266 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1124477427 | Mallory Jean Crouch | Counselor | 3720 Revere St., Ste. B, Denver, CO 80239 | 2016-06-07 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| Find all providers in zip 80239 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798937 | Colorado Addiction and Psychiatry, LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-04-16 |
| 1992337091 | Tri-county Health Department | Clinic/Center | 7000 Broadway Ste 400, Denver, CO 80221-2947 | 2020-02-06 |
| 1023405453 | Denver Naturopathic Clinic | Clinic/Center | 1181 S Parker Rd Ste 101, Denver, CO 80231-2152 | 2015-04-23 |
| 1942696885 | Supreme Healthcare Services | Clinic/Center | 3003 Krameria St, Denver, CO 80207-2832 | 2015-04-07 |
| 1508289612 | Bamboo Holdings, LLC | Clinic/Center | 3955 E Exposition Ave Ste 104, Denver, CO 80209-5031 | 2014-01-24 |
| 1063729408 | Mile Hi Immunizations, Inc | Clinic/Center | 283 Columbine St, #150, Denver, CO 80206-4707 | 2010-09-07 |
| 1356588198 | Highland Park Chiropractic | Clinic/Center | 3155 Federal Blvd, Denver, CO 80211-3744 | 2009-01-15 |
| 1902978273 | University of Denver | Clinic/Center | 2240 E Buchtel Blvd, Ritchie Center - 3rd Floor, Denver, CO 80208-0001 | 2006-11-14 |
| 1295353647 | Western Wellness Clinic LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-07-13 |
| 1609344225 | Cross Wellness | Clinic/Center | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2018-11-13 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.