Provider Demographics
NPI:1316169741
Name:ACI NETWORK
Entity type:Organization
Organization Name:ACI NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NORTHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSM
Authorized Official - Phone:303-761-7600
Mailing Address - Street 1:3575 S SHERMAN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3798
Mailing Address - Country:US
Mailing Address - Phone:303-761-7600
Mailing Address - Fax:303-762-1053
Practice Address - Street 1:3575 S SHERMAN ST STE 3
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3798
Practice Address - Country:US
Practice Address - Phone:303-761-7600
Practice Address - Fax:303-762-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization