Basic Information
| Provider Information | |||||||||
| NPI: | 1528442357 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UCHEALTH BROOMFIELD HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2695 ROCKY MOUNTAIN AVE STE 150 | ||||||||
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| City: | LOVELAND | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805389071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706244443 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11820 DESTINATION DR | ||||||||
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| City: | BROOMFIELD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800212518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034606000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2015 | ||||||||
| LastUpdateDate: | 09/23/2022 | ||||||||
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| AuthorizedOfficialLastName: | ALFORD | ||||||||
| AuthorizedOfficialFirstName: | JON | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 7208487773 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273Y00000X | N | Hospital Units | Rehabilitation Unit | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.