Provider Demographics
NPI:1497165658
Name:CITY OF LITTLETON
Entity type:Organization
Organization Name:CITY OF LITTLETON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:303-795-3709
Mailing Address - Street 1:2255 W BERRY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80165-0002
Mailing Address - Country:US
Mailing Address - Phone:303-795-3765
Mailing Address - Fax:
Practice Address - Street 1:2255 W BERRY AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80165-0002
Practice Address - Country:US
Practice Address - Phone:303-795-3765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty