Provider Demographics
NPI:1487088514
Name:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Entity type:Organization
Organization Name:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT AFFAIRS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:CRITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-724-6404
Mailing Address - Street 1:1229 E 18TH AVE UPPR UNIT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1161
Mailing Address - Country:US
Mailing Address - Phone:303-931-5714
Mailing Address - Fax:
Practice Address - Street 1:1229 E 18TH AVE UPPR UNIT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1161
Practice Address - Country:US
Practice Address - Phone:303-931-5714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty