Provider Demographics
| NPI: | 1053890533 |
|---|---|
| Name: | HOSPITALIST MEDICINE PHYSICIANS OF COLORADO-TCG |
| Entity type: | Organization |
| Organization Name: | HOSPITALIST MEDICINE PHYSICIANS OF COLORADO-TCG |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR OF PAYER ENROLLMENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MELISSA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HARLAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 615-577-6340 |
| Mailing Address - Street 1: | 120 BRENTWOOD COMMONS WAY STE 510 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BRENTWOOD |
| Mailing Address - State: | TN |
| Mailing Address - Zip Code: | 37027-2028 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 615-377-5658 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1600 PRAIRIE CENTER PKWY |
| Practice Address - Street 2: | |
| Practice Address - City: | BRIGHTON |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80601-4006 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 303-498-1600 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-08-07 |
| Last Update Date: | 2022-10-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |