Organization · NPI-2

Archwell Health Professional Services Of Colorado PC

Family Medicine · Englewood, CO

NPI number1033083878

StatusActive

Last updated in NPPESApr 27, 2026

Details

NPI: 1033083878
Entity type: Organization (NPI-2)
Legal business name: Archwell Health Professional Services Of Colorado PC
Organization subpart: No
Enumeration date: Oct 3, 2025
Certification date: Apr 27, 2026
Last updated: Apr 27, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
363L00000X	Nurse Practitioner	–	–
207R00000X	Internal Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–

Practice location

5050 S Federal Blvd Unit 38
Englewood, CO 80110-6342

Phone 303-879-8703 · Fax 855-576-4083

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Phone 888-987-1151

Authorized official

Amy Moddesette
Sr. Director, Managed Care Ops
6292241614

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