Basic Information
| Provider Information | |||||||||
| NPI: | 1235570482 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DENVER VAMC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2965 RHAPSODY DR | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809204008 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1055 CLERMONT ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802203808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033998020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2013 | ||||||||
| LastUpdateDate: | 07/16/2013 | ||||||||
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| AuthorizedOfficialLastName: | FELTENBERGER | ||||||||
| AuthorizedOfficialFirstName: | DENISE | ||||||||
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| AuthorizedOfficialTitleorPosition: | LCSW SOCIAL WORKER | ||||||||
| AuthorizedOfficialTelephone: | 7578972052 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | 1928 | CO | Y | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No ID Information.