Provider Demographics
NPI:1477812667
Name:UNIVERSITY OF COLORADO HOSPITAL
Entity type:Organization
Organization Name:UNIVERSITY OF COLORADO HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL HEALTH PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:GONZALEZ
Authorized Official - Last Name:MAMI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-848-0000
Mailing Address - Street 1:1665 AURORA COURT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2517
Mailing Address - Country:US
Mailing Address - Phone:720-848-0000
Mailing Address - Fax:720-848-0359
Practice Address - Street 1:1665 AURORA COURT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2517
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:720-848-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC12526284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital