Organization · NPI-2

Archwell Health Professional Services Of Colorado PC

Internal Medicine · Arvada, CO

NPI number1487485876

StatusActive

Last updated in NPPESApr 27, 2026

Details

NPI: 1487485876
Entity type: Organization (NPI-2)
Legal business name: Archwell Health Professional Services Of Colorado PC
Organization subpart: No
Enumeration date: Aug 8, 2024
Certification date: Apr 27, 2026
Last updated: Apr 27, 2026

Taxonomy and licenses

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

Practice location

5017 W 64th Ave
Arvada, CO 80003-6529

Phone 303-970-2334

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

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.