COLORADO COALITION FOR THE HOMELESS (NPI# 1336563014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336563014 |
| Entity Type | Organization |
| Organization Name | COLORADO COALITION FOR THE HOMELESS |
| Practice Address |
30999 County Road 15 Bldg 5 Fort Lyon CO 81054-9499 |
| Mailing Address |
2111 Champa St Denver CO 80205-2529 |
| Practice Telephone | 7196621100 |
| Mailing Telephone | 3032932217 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | PETE J STOLLER (CFO) |
| Authorized Official Telephone | 3033129606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 97238571 | 05 | |
| CO | MEDICARE | 061952 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819506 | Colorado Coalition for The Homeless | Clinic/Center | 5050 W Colfax Ave, Denver, CO 80204-1015 | 2012-04-03 |
| 1144469578 | Colorado Coalition for The Homeless | Clinic/Center | 1001 Park Ave W, Denver, CO 80205-2605 | 2009-02-09 |
| 1396793030 | Colorado Coalition for The Homeless | Clinic/Center | 2100 Stout St, Denver, CO 80205-2827 | 2006-05-05 |
| 1457703498 | Colorado Coalition for The Homeless | Counselor | 2100 N Broadway, Denver, CO 80205-2526 | 2016-07-01 |
| 1386090959 | Colorado Coalition for The Homeless | Clinic/Center | 2111 Champa St, Denver, CO 80205-2529 | 2016-05-12 |
| 1346621208 | Colorado Coalition for The Homeless | Clinic/Center | 2100 Broadway, Denver, CO 80205-2827 | 2015-06-16 |
| 1538557889 | Colorado Coalition for The Homeless | Clinic/Center | 2111 Champa St, Denver, CO 80205-2529 | 2015-01-08 |
| 1437547783 | Colorado Coalition for The Homeless | Clinic/Center | 1630 S Acoma St, Denver, CO 80223-3602 | 2015-01-08 |
| 1528456878 | Colorado Coalition for The Homeless | Clinic/Center | 2301 Lawrence St, Denver, CO 80205-2126 | 2015-01-08 |
| 1477866184 | Colorado Coalition for The Homeless | Clinic/Center | 4545 Navajo St, Denver, CO 80211-2440 | 2010-07-22 |
| Street Address |
30999 COUNTY ROAD 15 BLDG 5 |
| City | FORT LYON |
| State | CO |
| Zip Code | 81054-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043459449 | Sharon Kay Phillips | Nurse Practitioner | 30999 County Road 15, Fort Lyon, CO 81038 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255615480 | Rayland Smith | Counselor | 623 Carson, Las Animas, CO 81054 | 2011-10-06 |
| 1396889879 | Pamela Kay Valdez | Chiropractor | 246 Bent Ave, Las Animas, CO 81054 | 2007-02-16 |
| 1760541452 | Family Medical Services | Clinic/Center | 810 Third Street, Las Animas, CO 81054 | 2006-12-08 |
| 1992768790 | Region Six Alcohol & Drug Abuse Inc. | Substance Abuse Rehabilitation Facility | 11,000 Road Gg.5, Las Animas, CO 81054 | 2006-04-11 |
| 1891241527 | Samantha Rae Didomenico | Dentist | 245 Vine Ave, Las Animas, CO 81054 | 2016-09-01 |
| 1508116989 | Steven Gallegos | Nurse Practitioner | 245 Vine Ave, Las Animas, CO 81054 | 2012-09-13 |
| 1871661264 | David Oba | Family Medicine | 11560 County Route Ff0.75, Las Animas, CO 81054-0000 | 2006-12-01 |
| 1528282522 | Bent County Memorial Nursing Home | Assisted Living Facility | 810 3rd St, Las Animas, CO 81054-1002 | 2007-04-12 |
| 1033448170 | Prowers County Hospital District | Clinic/Center | 215 Maple Avenue, Las Animas, CO 81054-1029 | 2009-12-21 |
| 1821136698 | Karen L Donkle | Nurse Practitioner | 215 Maple Ave, Las Animas, CO 81054-1029 | 2007-02-02 |
| Find all providers in zip 81054 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1538772892 | Valley-wide Health Systems, Inc. | Clinic/Center | 204 Carson Ave, Alamosa, CO 81101-2342 | 2020-08-26 |
| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.