Provider Demographics
NPI:1386767606
Name:COLORADO MEDICAL CENTER INC
Entity type:Organization
Organization Name:COLORADO MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-744-1202
Mailing Address - Street 1:PO BOX 173861
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80256
Mailing Address - Country:US
Mailing Address - Phone:303-744-1202
Mailing Address - Fax:
Practice Address - Street 1:950 E HARVARD AVE
Practice Address - Street 2:SUITE 630
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7002
Practice Address - Country:US
Practice Address - Phone:303-744-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D23617Medicare UPIN