Provider Demographics
NPI:1366928012
Name:MILE HIGH MINISTRIES
Entity type:Organization
Organization Name:MILE HIGH MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-586-5992
Mailing Address - Street 1:2330 W MULBERRY PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3817
Mailing Address - Country:US
Mailing Address - Phone:303-839-5198
Mailing Address - Fax:720-932-7416
Practice Address - Street 1:2330 W MULBERRY PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3817
Practice Address - Country:US
Practice Address - Phone:303-839-5198
Practice Address - Fax:720-932-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO177F00000X, 251B00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management