Stout Street Clinic
LBN: Colorado Coalition For The Homeless
Stout Street Clinic is an health care organization with primary practice located at 2130 Stout St , Denver CO 80205-2827. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Colorado Coalition For The Homeless can be contacted via phone (303) 293-2220, or through Stoller, Pete J via phone (303) 312-9606.
Contact Information
Primary practice address
2130 Stout St
Denver CO 80205-2827
Phone: (303) 293-2220
Fax: (303) 293-6966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 1042 | Colorado |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1396793030 |
|---|---|
| LBN Legal business name | Colorado Coalition For The Homeless |
| DBA Doing business as | Stout Street Clinic |
| Authorized official | Stoller, Pete J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 9th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396793030 | NPPES |
| Colorado | MEDICAID | 05638390 |
Popular Providers
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