Provider Demographics
NPI:1790658383
Name:COLORADO CHRISTIAN HEALTH
Entity type:Organization
Organization Name:COLORADO CHRISTIAN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:AGACNP
Authorized Official - Phone:303-204-9910
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-0369
Mailing Address - Country:US
Mailing Address - Phone:303-204-9910
Mailing Address - Fax:
Practice Address - Street 1:955 PEACH LEAF LN
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-8653
Practice Address - Country:US
Practice Address - Phone:303-204-9910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty