COLORADO COALITION FOR THE HOMELESS NPI 1396793030

NPI Information

  • NPI: 1396793030
  • Provider Name: COLORADO COALITION FOR THE HOMELESS
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: STOUT STREET CLINIC
  • CLIA Number: 06D0701735
  • Address: 2130 STOUT ST
    DENVER, CO
    ZIP 80205
  • Phone: (303) 293-2220

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NPI Details

COLORADO COALITION FOR THE HOMELESS is a federally qualified health center (fqhc) clinic center in Denver, CO. COLORADO COALITION FOR THE HOMELESS NPI is 1396793030. The provider is registered as an organization entity type.
The provider Is Doing Business As Stout Street Clinic.

The provider's business location address is:

2130 STOUT ST
DENVER, CO
ZIP 80205-827
Phone: (303) 293-2220
Fax: (303) 293-6966

The provider's authorized official is Pete J Stoller .
The authorized official title is Cfo and has the following contact phone number (303) 312-9606.

The CLIA number assigned to this NPI record is 06D0701735 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/5/2006 and was last updated on 1/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center1042COLORADONo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105638390MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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