Provider Demographics
NPI:1225624547
Name:KIDS FIRST HEALTH CARE
Entity type:Organization
Organization Name:KIDS FIRST HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMIN AND FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LURIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-853-3282
Mailing Address - Street 1:7190 COLORADO BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-1847
Mailing Address - Country:US
Mailing Address - Phone:303-289-1086
Mailing Address - Fax:
Practice Address - Street 1:6933 RALEIGH ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-5912
Practice Address - Country:US
Practice Address - Phone:303-657-3980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO74125044Medicaid