Provider Demographics
NPI:1871965459
Name:THOMAS E. CAMPBELL CONSTRUCTION
Entity type:Organization
Organization Name:THOMAS E. CAMPBELL CONSTRUCTION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-377-6018
Mailing Address - Street 1:605 S CLINTON ST
Mailing Address - Street 2:8A
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1586
Mailing Address - Country:US
Mailing Address - Phone:720-377-6018
Mailing Address - Fax:
Practice Address - Street 1:605 S CLINTON ST
Practice Address - Street 2:8A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1586
Practice Address - Country:US
Practice Address - Phone:720-377-6018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171WH0202X
CO2013-790671 01 SL320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities