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Contact Information

JEFFERSON CENTER FOR MENTAL HEALTH
9485 W COLFAX AVE
LAKEWOOD, CO80215-3918
 Phone: 303-432-5925
 Fax: 303-432-5935
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JEFFERSON CENTER FOR MENTAL HEALTH

NPI # 1861574642
LBN Legal business name JEFFERSON CENTER FOR MENTAL HEALTH
Authorized official ANDREW VANDER KOOI - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 10/20/2025 - About 8 months ago
Identifiers
CO License # 622
CO Medicaid 62024566
Other 2003835 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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