COLORADO COALITION FOR THE HOMELESS NPI 1689857153

NPI Details

COLORADO COALITION FOR THE HOMELESS is a clinic pharmacy pharmacy in Denver, CO. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. COLORADO COALITION FOR THE HOMELESS NPI is 1689857153. The provider is registered as an organization entity type.
The provider Is Doing Business As Stout Street Clinic - Pharmacy.

The provider's business location address is:

2130 STOUT STREET
DENVER, CO
ZIP 80205-827
Phone: (303) 293-3979
Fax: (303) 293-6514

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 06D2134542 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 12/7/2007 and was last updated on 10/21/2021.

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:

Other Identifiers

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