Provider Demographics
NPI:1386394088
Name:ACT FOR HEALTH
Entity type:Organization
Organization Name:ACT FOR HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, SPECIALIZED SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-618-8710
Mailing Address - Street 1:500 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3716
Mailing Address - Country:US
Mailing Address - Phone:720-634-9128
Mailing Address - Fax:
Practice Address - Street 1:800 OAK RIDGE TPKE STE B100
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6968
Practice Address - Country:US
Practice Address - Phone:865-481-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROFESSIONAL CASE MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Multi-Specialty