Technical Update - County Technical Services, Inc.

Technical Update
September 30, 2014
Volume 18, Number 11
Colorado Employer Designated Provider List for
Workers’ Compensation (part 1)
This document is intended to aid you in determining
the number of designated providers that must be
supplied to an injured worker following a reported
work injury effective as of April 15, 2015.
Within 30 miles of the place of business, if there are:
If there are not two (2) physicians or corporate medical providers at distinct locations without common ownership, then you may designate physicians at
the same location or with common ownership.*
No more than 1-3 physicians or corporate
medical providers willing to treat injured employees?
If so, you may designate one (1) physician or corporate medical provider.
C.R.S. §8-43-404(5)(a)(I)(B)
No more than 4-8 physicians or corporate medical
providers willing to treat injured employees?
If so, you may designate two (2) physicians
or corporate medical providers or a|
combination of physicians or corporate medical providers at distinct locations and
without common ownership.
If there are not two (2) physicians or
medical providers at distinct locations, then you can designate two physicians at the same location. *
C.R.S. §8-43-404(5)(a)(I)(C)
9 or more physicians or corporate medical
providers willing to treat injured employees?
If so, you must designate at least 4 physicians, or 4 corporate medical providers, or at least
two (2) physicians and two (2) corporate medical providers or a combination thereof.
At least one of the four (4) designated physicians or corporate medical providers must be at a distinct location without common ownership.
C.R.S. § 8-43-404(5)(a)(I)(A)
Under the Workers’ Compensation Act, a
physician or corporate medical provider is
deemed willing to treat an injured worker unless
they have indicated to the employer or insurer
that they are not willing to treat. C.R.S. § 8-43404(5)(a)(I)(B). However, we recommend that
you confirm the willingness to treat injured
workers with each designated medical provider
you list.
This document is provided as a quick guide or
reference. If you have questions or concerns
that pertain to the unique circumstances of your
location, please do not hesitate to contact our
office. Please see the attached list of Colorado
clinics.
In the future, we will post a list of Colorado
clinics on our website to assist you in your
search.
County Technical Services, Inc.
800 Grant St., Suite 400
Denver CO 80203
Technical Updates are available online at: www.ctsi.org
303.861.0507
FAX: 303.861.2832
Technical Update
September 30, 2014
Volume 18, Number 11
Colorado Employer Designated Provider List for
Workers’ Compensation (part 2)
What This Means to Counties
In June of 2014 House Bill 14-1383 was signed.
This Workers’ Compensation amendment increased
the number of designated providers that an employer
must provide to the injured employee to four. There
are exceptions based on availability of physicians
in some locales. We request that you edit your
designated provider lists. Please also provide CTSI
with a copy of your revised list.
* If physicians or corporate medical providers
at the same location or with common ownership
are listed, those providers, within 5 days of the
written request by an interested party to the
workers’ compensation claim, must provide a list
of ownership interests/employment relationships
to the interested party.
For more information, contact CTSI at 303-861-0507.
County Technical Services, Inc.
800 Grant St., Suite 400
Denver CO 80203
Technical Updates are available online at: www.ctsi.org
303.861.0507
FAX: 303.861.2832
Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
SAINT MARYS HOSPITAL AND REGIONAL MEDICAL ‐ 2635 N 7TH STREET
Occupational Health Clinic ‐ PCP*
Address 2
PO BOX 638254
City
GRAND JUNCTION
State Zip
CO
81501
ABBOTT JOHN
201 KENDALL DRIVE
LAMAR
CO
81052
ARAPAHOE PEAK HEALTH CENTER
28000 MEADOW DR UNIT 210
EVERGREEN
CO
80439
ARBOR OCCUPATIONAL MEDICINE PLLC PCP *
1690 30TH STREET
BOULDER
CO
80301
ARBOR OCCUPATIONAL MEDICINE PLLC PCP *
290 Nickel St. Ste. 200
BROOMFIELD
CO
80020
ARBOR OCCUPATIONAL MEDICINE PLLC PCP *
8200 E. Belleview #428 C, Greenwood Village
CO
80111
ARBOR OCCUPATIONAL MEDICINE PLLC PCP *
1860 Industrial Circle, Ste. D
Longmont
CO
80501
ARKANSAS VALLEY REG MED
1100 CARSON AVE
LA JUANTA
CO
81050
ASPEN VALLEY HOSPITAL
0401 CASTLE CREEK RD
ASPEN
CO
81611
Avista Hospital
BABCOCK MARK Dr. Internal Medicine PCP
BASIN CLINIC ‐ PCP *
100 Health Park Drive
1804 KENNEDY AVE
PO BOX 1146
Louisville
LOVELAND
MONTROSE
CO
CO
CO
80027
80538
81402
BOULDER COMMUNITY HOSPITAL
1100 BALSAM
BOULDER
CO
80304
BOULDER MEDICAL CENTER
2750 BROADWAY STREET
BOULDER
CO
80304
80291
BRECKENRIDGE MEDICAL CLINIC PCP
PO BOX 911057
DENVER
CO
BROADMOOR MEDICAL CLINIC PCP
1299 LAKE PLAZA DRIVE
COLORADO SPRINGS
CO
80906
BYERS PEAK FAMILY MEDICINE ‐ PCP?
PO BOX 1312
WINTER PARK
CO
80482
C T ARCHULETA MD LLC ‐ PCP
2215 SAN JUAN AVE
LA JUNTA
CO
81050
CASTLE ROCK FAMILY PHYSICIAN ‐ PCP
PO BOX 1510
CASTLE ROCK
CO
80104
CCOM Canon City 3245 E Hwy. 50 Ste. E. CANON CITY
CO
81212
CCOM BRIARGATE CHC LLC SISTERS GROVE
6011 E WOODMAN RD STE 100
COLORADO SPRINGS
CO
80923
80909
CCOM CHC CENTER OCC MEDICINE
3030 N Circle Ste. 210 COLORADO SPRINGS
CO
CCOM DURANGO
810 E 3rd. St. Ste. 202
DURANGO
CO
81301
CCOM SOUTH DENVER CHC LLC
20 West Dry Creek Cir. LITTLETON
CO
80120
CCOM SUMMIT Breckenridge
555 S. Plaza Park II, BRECKENRIDGE
CO
80424
CCOM PUEBLO CHC LLC
4112 OUTLOOK BLVD 225
PUEBLO
CO
81008
CCOM SUMMIT FRISCO
18 SCHOOL RD STE 125
FRISCO
CO
80443
CENTENNIAL FAMILY HEALTH CENT PCP
319 MAIN
ORDWAY
CO
81063
CENTURA HEALTH URGENTCARE CA ‐ PCP
PO BOX 911057
DENVER
CO
80291
CENTURA HEALTH URGENTCARE CA
PO BOX 911057
DENVER
CO
80291
Champion Health Associates, LLC
9240 Explorer Drive, Suite 215
Colorado Springs
CO
80920
COLORADO MOUNTAIN MEDICAL ‐ PCP
PO BOX 5850
EAGLE
CO
81631
80229
COLORADO OCCUPATIONAL MEDICINE PHYSICIAN
8515 PEARL ST
THORNTON
CO
COLORADO PLAINS MED CTR
1000 LINCOLN STREET
FORT MORGAN
CO
80701
COLORADO REHABILITATION & OCC MEDICINE
1390 S. POTOMAC STREET, #100
AURORA
CO
80012
COLORADO REHABILITATION & OCC MEDICINE
1175 S. PERRY ST. #100
CASTLE ROCK
CO
80104
1 of 7
10‐2‐14
Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
Address 2
City
State Zip
COLORADO REHABILITATION & OCC MEDICINE
2480 W. 26th Ave. Bldg. B, #90
DENVER
CO
80211
COLORADO REHABILITATION & OCC MEDICINE
8200 E. BELLEVIEW #330 C, GREENWOOD VILLAGE CO
80111
COLORADO REHABILITATION & OCC MEDICINE
2620 E. PROSPECT RD. STE. 160
FT COLLINS
CO
80525
COLORADO REHABILITATION & OCC MEDICINE
20 W. DRY CREEK CIRCLE STE. 310
LITTLETON
CO
80120
COLORADO REHABILITATION & OCC MEDICINE
9351 GRANT ST. STE. 100
THORNTON
CO
80229
COLORADO QUICK CARE
2928 W 10TH ST STE 101
GREELEY
CO
80634
80012
COLORADO REHABILITATION AND OCCUPATIONAL
1390 S. POTOMAC STREET, #128
AURORA
CO
COLUMBIA REHAB AND OCC MED
1390 S POTOMAC ST STE 128
AURORA
CO
80012
COMMUNITY HEALTH CLINIC
495 W FOURTH ST BOX 576
DOVE CREEK
CO
81324
COMMUNITY HOSPITAL
PO BOX 1687
GRAND JUNCTION
CO
81502
CONCENTRA MEDICAL CENTERS ‐ PCP
15235 E 38th Ave. AURORA
CO
80111
CONCENTRA MEDICAL CENTERS ‐ PCP
10355 E Iliff Ave. AURORA
CO
80247
CONCENTRA MEDICAL CENTERS ‐ PCP
3300 28th St. BOULDER
CO
80301
CONCENTRA MEDICAL CENTERS ‐ PCP
11877 E. Arapahoe Rd. CENTENNIAL
CO
80112
80126
CONCENTRA MEDICAL CENTERS ‐ PCP
9330 S. University Blvd., Ste. 100
HIGHLANDS RANCH
CO
CONCENTRA MEDICAL CENTERS ‐ PCP
770 Simms
GOLDEN
CO
80401
CONCENTRA MEDICAL CENTERS ‐ PCP
875 S. Colorado Blvd. DENVER
CO
80246
CONCENTRA MEDICAL CENTERS ‐ PCP
1730 Blake St. Ste. 100
DENVER
CO
80202
CONCENTRA MEDICAL CENTERS ‐ PCP
420 E. 58th Ave. Ste. 111
DENVER
CO
80216
CONCENTRA MEDICAL CENTERS ‐ PCP
12 S. Broadway
DENVER
CO
80210
CONCENTRA MEDICAL CENTERS ‐ PCP
20 W. Dry Creek Circle Ste. 100
LITTLETON
CO
80120
CONCENTRA MEDICAL CENTERS ‐ PCP
5855 Stapleton Dr. North Ste. A 130
DENVER
CO
80216
CONCENTRA MEDICAL CENTERS ‐ PCP
500 E 84th Ave. Ste. B14
THORNTON
CO
80216
CONIFER MEDICAL CENTER PC
26659 PLEASANT PARK RD
CONIFER
CO
80433
CORNERSTON FAMILY MEDICINE L ‐ Dr. Kurz PCP
2800 CORNERSTONE DR B2 UNIT 1
PAGOSA SPRINGS
CO
81147
COTTONWOOD HOLISTIC FAMILY H ‐ PCP
3600 MAIN AVE SUITE C
DURANGO
CO
81301
CUSTER COUNTY MEDICAL CLINIC
PO BOX 120
WESTCLIFFE
CO
81252
DALLENBACH M ‐ PCP 208 W 8TH STREET
PUEBLO
CO
81003
DAVE SHERWOOD FAMILY MEDICINE ‐ PCP
570 PALAMINO
RIDGWAY
CO
81432
DAVID HOMER MD ‐ PCP
PO BOX 280
NORWOOD
CO
81423
DELTA COUNTY MEMORIAL HOSP
1501 E 3RD ST
PO BOX 10100
DELTA
CO
81416
DENVER HEALTH
777 BANNOCK ST
PO BOX 5426
DENVER
CO
80217
DESERT SUN MEDICAL CENTER, P
1114 NORTH 1ST ST STE 103
GRAND JUNCTION
CO
81501
DOUGLAS M. MCFARLAND, MD ‐ PCP
1502 E MAIN STREET
TRINIDAD
CO
81082
DURANGO URGENT CARE LLC
2577 N MAIN AVE
DURANGO
CO
81301
EADS MEDICAL CLINIC ‐ PCP
PO BOX 817
EADS
CO
81036
EAGLE COUNTY HEALTH SERVICE DISTRICT
1055 EDWARDS VILLAGE BLVD, BOX 990
EDWARDS
CO
81632
2 of 7
10‐2‐14
Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
Address 2
City
State Zip
EAGLE VALLEY MEDICAL CENTER
PO BOX 129
EAGLE
CO
81631
EAST MORGAN COUNTY HOSPIT
PO BOX 1600
GREELEY
CO
80632
EAST PHILLIPS COUNTRY HOSPITAL
1001 EAST JOHNSON STREET
HOLYOKE
CO
80734
ELIZABETH FAMILY HEALTH‐ PCP
P O BOX 1272
ELIZABETH
CO
80107
ELK RIDGE FAMILY‐ PCP
30940 STAGECOACH BLVD
EVERGREEN
CO
80439
EMERGICARE MEDICAL CLINIC ‐ PCP
402 W. Bijou St. COLORADO SPRINGS
CO
80905
80918
EMERGICARE MEDICAL CLINIC ‐ PCP
4083 Austin Bluffs Pkwy.
COLORADO SPRINGS
CO
EMERGICARE MEDICAL CLINIC ‐ PCP
3002 S. Academy Blvd. COLORADO SPRINGS
CO
80916
EMERGICARE MEDICAL CLINICS ‐ PB
4117 N ELIZABETH ST
PUEBLO
CO
81008
ESTES PARK MEDICAL GROUP
555 PROSPECT AVENUE
EXEMPLA GOOD SAMARITAN MEDICAL CENTER
200 EXEMPLA CIRCLE
PO BOX 638254
EXEMPLA LUTHERAN MEDICAL CENTER
8300 W 38TH AVENUE
PO BOX 638254
EXEMPLA PHSYCIAN NETWORK‐ PCP
PO BOX 910557
ESTES PARK
CO
80517
LAFAYETTE
CO
80026
WHEAT RIDGE
CO
80033
DENVER
CO
80291
EXEMPLA PHYUSICIAN NETWORK
PO BOX 912596
DENVER
CO
80291
EXEMPLA SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREET
DENVER
CO
80218
FAMILY PHYSICIANS OF GREELEY LLP
2520 W 16TH STREET
GREELEY
CO
80634
FORT MORGAN MEDICAL GROUP ‐ PCP
1006 LAKE STREET
FORT MORGAN
CO
80701
FRONT RANGE PRIMARY CARE PARTNERS
6895 E HAMPDEN AVENUE
DENVER
CO
80224
Glenwood Medical Associates PCP
1830 Blake Ave
Glenwood Springs
CO
81601
GRAND RIVER HOSPITAL AND MED
PO BOX 912
RIFLE
CO
81650
GUNNISON VALLEY HEALTH FAMILY MEDICINE C
711 N TAYLOR ST
GUNNISON
CO
81230
GUNNISON VALLEY HOSPITAL
711 N TAYLOR ST
GUNNISON
CO
81230
GYPSUM URGENT CARE
410 MCGREGOR DRIVE
GYPSUM
CO
81637
80112
PO BOX 561334
HARRIS JOHN ‐ PCP
12150 E BRIARWOOD AVE
CENTENNIAL
CO
HEALTHONE Occupational Medicine & Rehab
4900 S. Monaco Ste. 210
DENVER
CO
80237
HEALTHONE Occupational Medicine & Rehab
125 E. Hampden Ave. Englewood
CO
80113
HEALTHONE Occupational Medicine & Rehab
14000 E Arapahoe Rd. CENTENNIAL
CO
80112
HEALTHONE Occupational Medicine & Rehab
120 Bryant St. DENVER
CO
80219
80012
HEALTHONE Occupational Medicine & Rehab
1444 S. Potomac St. AURORA
CO
HEART OF THE ROCKIES REGIONAL MEDICAL
PO BOX 429
SALIDA
CO
81201
HEYL ROBERT ‐ PCP
1413 N MILDRED RD
CORTEZ
CO
81321
Higginbotham ‐ PCP
1430 S 21st St
Colorado Springs
CO
80904
HIGH COUNTRY HEALTHCARE PCP
PO BOX 911416
DENVER
CO
80291
HOMER DAVID ‐ PCP
PO BOX 280
NORWOOD
CO
81423
HOPPE WAYNE ‐ PCP
291 15TH STREET
BURLINGTON
CO
80807
JAY MCMURREN ‐ PCP
130 EAST VIRGINIA AVENUE
GUNNISON
CO
81230
Suite 101
3 of 7
10‐2‐14
Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
Address 2
City
State Zip
JEFFREY B WEEKS, MD, PC
1931 65TH AVE, STE C
GREELEY
CO
Jeffrey David Loewenthal
3801 E. Florida Avenue, Suite 502
Denver
CO
80634
80210
JEFFREY KREBS DO ‐ PCP
5 HILLCREST PLAZA WAY
MONTROSE
CO
81401
KEEFE MEMORIAL HOSPITAL
602 NORTH 6TH ST WEST
CHEYENNE WELLS
CO
80810
KIT CARSON COUNTY MEMORIAL HOSP
286 16TH STREET
BURLINGTON
CO
80807
KREMMLING MEM HOSP DISTRICT
214 S 4TH ST BOX 399
KREMMLING
CO
80459
LA JARA MEDICAL CLINIC PCP
19021 US HIGHWAY 285
LA JARA
CO
81140
PO BOX 399
LA PLATA FAMILY MEDICINE ASSOC PC PCP
3235 MAIN AVENUE
DURANGO
CO
81301
LADWIG MICHAEL
6900 E 47TH AVE DR ST 100
DENVER
CO
80216
LAKEWOOD ROCKY MOUNTAIN MEDICAL
3245 S WADSWORTH BLVD
LAKEWOOD
CO
80125
LAMAR MEDICAL CLINIC
403 KENDALL DR
LAMAR
CO
81052
LINCOLN COMMUNITY HOSPITAL
PO BOX 248
HUGO
CO
80821
80122
LITTLETON HOSPITAL
7700 S BROADWAY
Longmont Clinic
1925 Mountain View
LOWER VALLEY HOSP ASN DB
300 OTTLEY AVE
MCFARLAND DOUGLAS
1502 E MAIN STREET
MCKEE MEDICAL CENTER
2000 BOISE AVE
PO BOX 911640
PO BOX 130
PO BOX 2148
MEADOWS FAMILY MEDICAL CENTER
PO BOX 1887
MEDICAL CENTER OF AURORA
1501 S POTOMAC STREET
PO BOX 403150
PO BOX 732033
MEDICAL CENTER OF THE ROCKIE
2500 ROCKY MOUNTAIN AVENUE
MEEKER FAMILY HEALTH CENTER PCP
345 CLEVELAND STREET
MELISSA MEMORIAL HOSPITAL
MEMORIAL HEALTH SYSTEM
MERCY REGIONAL MEDICAL C
1001 E JOHNSON STREET
1400 E BOULDER ST
1010 THREE SPRINGS BLVD
PO BOX 732029
PO BOX 912383
LITTLETON
CO
Longmont
CO
80501
FRUITA
CO
81521
TRINIDAD
CO
81082
LOVELAND
CO
80538
DENVER
CO
80201
AURORA
CO
80012
LOVELAND
CO
80538
MEEKER
CO
81641
HOLYOKE
COLORADO SPRINGS
DURANGO
CO
CO
CO
80734
80909
81301
MIDTOWN OCCUPATIONAL HEALTH PC PCP
2420 W 26TH AVE BLDG D 200
DENVER
CO
80211
MIDVALLEY FAMILY PRACTICE PC PCP
1450 E VALLEY ROAD STE 102
BASALT
CO
81621
Moffat Family Clinic LLC PCP
600 Russell Street
Craig
CO
81625
MONTROSE MEMORIAL HOSP
800 S THIRD STREET
MONTROSE
CO
81401
MOUNTAIN OCCUPATIONAL MEDICINE PCP
2838 OLYMPIA CIRCLE
EVERGREEN
CO
80439
MOUNTAIN PEAKS URGENT CARE PCP
836 S TOWNSEND AVE UNIT C
MONTROSE
CO
81401
MOUNTAIN WEST FAMILY PRACTIC PCP
PO BOX 28
MONTROSE
CO
81402
MT SAN RAFAEL HOSPITAL
410 BENEDICTA AVE
TRINIDAD
CO
81082
NORTH COLORADO MEDICAL CE
OCCUPATIONAL MED CLINIC PCP
OCCUPATIONAL MEDICINE PCP
OMEARA PATRICK PCP
1801 16TH STREET
575 RIVERGATE LANE
106 BLANCA AVE
330 SOUTH 9TH STREET
GREELEY
DURANGO
ALAMOSA
MONTROSE
CO
CO
CO
CO
80631
81301
81101
81401
ON THE MEND OCCUPATIONAL MEDICINE, PLLC 3900 S. Wadsworth Boulevard, Suite 325
LAKEWOOD
CO
80235
PO BOX 1988
4 of 7
10‐2‐14
Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
Address 2
City
State Zip
ORGEL DAVID MD
633 17TH ST SUITE 100
DENVER
CO
PAGOSA MOUNTAIN CLINIC PCP
95 S PAGOSA BLVD
PAGOSA SPRINGS
CO
80202
81147
PARKE HEALTH CENTER
182 16TH STREET
BURLINGTON
CO
80807
80138
PARKER HOSPITAL
9395 CROWN CREST BLVD
PO BOX 911522
PARKER
CO
PARKVIEW FAMILY MEDICINE STE
DEPT 1170
PO BOX 17180
DENVER
CO
80217
PARKVIEW MEDICAL CENTER
400 W 16TH ST
PO BOX 17180 DEPT 1140 PUEBLO
CO
81003
PATRICK D O MEARA DO PCP
330 S 9TH ST
MONTROSE
CO
81401
81520
PEACH VALLEY FAMILY MEDICAL
3225 I‐70 BUSINESS LOOP A‐4
CLIFTON
CO
PEAK TO PEAK FAMILY PRACTICE PCP
7768 VANCE DR STE B
ARVADA
CO
80003
PENROSE ST FRANCIS HOSP.
2222 N NEVADA AVE
COLO SPGS
CO
80907
PO BOX 910506
PHC FORT MORGAN INC PCP
1000 LINCOLN STREET
FORT MORGAN
CO
80701
PIONEEIE MEDICAL CENTER
345 CLEVELAND STREET
MEEKER
CO
81641
PLATE VALLEY MEDICAL CTR
1600 PRAIRE CENTER PARKWAY
BRIGHTON
CO
80601
PLUM CREEK MEDICAL PCP
PO BOX 1628
CASTLE ROCK
CO
80104
80120
Porter Adventist Health Systems
1000 South Park Drive
POUDRE VALLEY HEALTH CARE IN
1024 S LEMAY AVENUE
PROWERS MEDICAL CENTER
401 KENDALL DRIVE
PSL MEDICAL CTR
1719 E 19TH AVE
PO BOX 732033
PO BOX 403171
Littleton
CO
FT COLLINS
CO
80524
LAMAR
CO
81052
DENVER
CO
80218
PULSE FAMILY ACUTE CARE CENTER PCP
7475 MCLAUGHLIN RD
FALCON
CO
80831
RANGLEY DISTRICT HOSPITAL
225 BAGLE CREET DRIVE
RANGELY
CO
81648
RANGLEY FAMILY MEDICINE PCP
225 EAGLE CREST DRIVE
RANGELY
CO
81648
RIO GRANDE HOSPITAL
310 COUNTY ROAD 14
DEL NORTE
CO
81132
Rocky Mountain Family Med PCP
70 Stafford Ln
Delta
CO
81416
Rocky Mountain Medical Group PCP
730 W Hampden Avenue #200
Englewood
CO
80110
80112
Rocky Mountain Medical Group P C PCP
10700 East Geddes Ave Suite 100
Englewood
CO
ROCKY MOUNTAIN URGENT CARE PCP
PO BOX 151530
LAKEWOOD
CO
80215
ROYAL GORGE EMERGENCY
1338 Phay Ave. CANON CITY
CO
81212
RYAN MEDICAL AND ASSOCIATES, LLC
1420 E 3RD ST
LA JUNTA
CO
81050
SAINT MARYS HOSPITAL AND REGIONAL MEDICA
2635 N 7TH STREET
SALIDA FAMILY MEDICINE PCP
320 E FIRST ST
PO BOX 638254
GRAND JUNCTION
CO
81501
SALIDA
CO
81201
SAN LUIS VALLEY REG MED
106 BLANCA AVENUE
ALAMOSA
CO
81101
SECH RHC
900 CHURCH STREET
SPRINGFIELD
CO
81073
80737
SEDGWICK COUNTY MEMORIAL HOSPITAL
900 CEDAR STREET
JULESBURG
CO
SHELDON GOLDBERT, MD, PC
4485 WADSWORTH BLVD
STE 105
WHEAT RIDGE
CO
80033
SKY RIDGE MEDICAL CENTER
10101 RIDGEGATE PARKWAY
PO BOX 403417
LONE TREE
CO
80124
SLV HEALTH RMC
SLVRMC OCCUPATIONAL PCP
106 BLANCA AVENUE
2115 STUART AVE.
ALAMOSA
ALAMOSA
CO
CO
81101
81101
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Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
Address 2
City
State Zip
SOUHTWEST MEMORIAL
1311 N MILDRED
CORTEZ
CO
SOUTHEAST COLORADO HOSPITAL
373 EAST 10TH AVENUE
SPRINGFIELD
CO
81321
81073
SOUTHERN COLORADO CLINIC PC PCP
3676 PARKER BLVD
PUEBLO
CO
81008
81321
SOUTHWEST MEMORIAL PRIMARY CARE PCP
1311 NORTH MILDRED ROAD
CORTEZ
CO
SPORTS AND FAMILY MEDICINE COLORADO
6390 GARDENIA STREET 140
ARVADA
CO
80004
ST ANTHONY HEALTH CENTERS PCP
1520 EVERGREEN PKWY
EVERGREEN
CO
80439
ST ANTHONY HOSPITAL
11600 WEST 2ND PLACE
PO BOX 910728
LAKEWOOD
CO
80228
ST ANTHONY HOSP NORTH
2551 W 84TH AVE
PO BOX 910126
WESTMINSTER
CO
80031
ST ANTHONY SUMMIT MEDICA PCP
340 PARK ONE DR
PO BOX 911821
FRISCO
CO
80443
ST MARY CORWIN HOSPITAL
PO BOX 910545
DENVER
CO
80291
St Marys Occupational Health Center PCP
744 Horizon Court
Suite 220
Grand Junction
CO
81506
ST THOMAS MORE HOSPITAL
1338 PHAY AVE
PO BOX 910363
CANON CITY
CO
81212
ST VINCENT GENERAL HOSP DIST
822 W 4TH ST
LEADVILLE
CO
80461
ST. ANTHONY HEALTH CENTERS PCP
1520 EVERGREEN PKWY
EVERGREEN
CO
80439
81625
STEAMBOAT MEDICAL GROUP PC
1135 E HWY 40
CRAIG
CO
STEDMAN HAWKINS CLINIC VAIL
181 WEST MEADOW DRIVE 400
VAIL
CO
81657
STERLING REGIONAL MEDCENT
PO BOX 1630
GREELEY
CO
80632
SUN CLINIC INC
9397 CROWN CREST BLVD STE 201
PARKER
CO
80138
SURFACE CREEK FAMILY PRACTICE
255 SW 8TH AVE
CEDAREDGE
CO
81413
SWEDISH MEDICAL CENTER
501 E HAMPDEN AVE
ENGLEWOOD
CO
80113
THE CENTENO SCHULTZ CLINIC
403 SUMMIT BLVD STE 201
PO BOX 403197
BROOMFIELD
CO
80021
THE MEDCOM GROUP LTD
541 GARDEN DRIVE UNIT Q
WINDSOR
CO
80759
THE MEMORIAL HOSPITAL
750 HOSPITAL LOOP
CRAIG
CO
81625
81657
THE STEADMAN CLINIC VAIL
181 W MEADOW DR SUITE 400
VAIL
CO
TIMBERLINE MEDICAL LLC PCP
131 STANLEY AVENUE SUITE 202
ESTES PARK
CO
80517
TOWN CLINIC OF CRESTED BUTTE
214 6TH ST STE 1
CRESTED BUTTE
CO
81224
UNION MEDICAL PCP
200 UNION BLVD STE 318
LAKEWOOD
CO
80228
UNIVERSITY HEALTH SERVICES PC LLC
1901 10TH AVE CAMPUS BOX 37 CASSIDY HALL
GREELEY
CO
80639
UNIVERSITY OF COLORADO HOSPITA
12605 E 16TH AVE F402
PO BOX 731605
AURORA
CO
80045
VAIL VALLEY MEDICAL CENTER
181 WEST MEADOW DR
PO BOX 561334
VAIL
CO
81657
VALLEY MEDICAL CLINIC PCP
900 CEDAR STREET
JULESBURG
CO
80737
VALLEY VIEW HOSPITAL
1906 BLAKE AVE
GLENWOOD SPGS
CO
81601
80720
WASHINGTON COUNTY CLINIC PCP
482 ADAMS AVE
AKRON
CO
WCDH DBA THE WRAY CLINIC
1017 W 7TH STREET PO BOX 216
WRAY
CO
80758
WEISBROD MEMORIAL HOSPITAL
1208 LUTHER ST
EADS
CO
81036
WESTERN ORTHOPEDICS SPORTS ME
2020 N 12TH STREET
GRAND JUNCTION
CO
81501
WESTERN ORTHOPEDICS SPORTS ME
2372 G RD SUITE 100
GRAND JUNCTION
CO
81505
6 of 7
10‐2‐14
Employer Provider List for Workers Compensation Claims
This list of providers contains many of the hospitals and clinics utilized for WC cases over the last year or more and may contain other specialties. It is not a complete list of every provider. Hospitals should be utilized for emergency situations only when the clinic is closed or the injury is severe. Some of the clinics may have changed location or doctors. Those in RED may be primary care providers. As you prepare to increase your list per the new Division of Workers Compensation requirements, we recommend that you do your own research to determine if you have enough of the required providers in your area. The list we have provided is a starting place only. You may find others that you prefer for your WC designated provider list. Be sure to contact the facility to determine if they handle workers’ compensation claims and can meet the needs of you and your employees. Provider Name
Address 1
Address 2
City
State Zip
WOODLAND PARK FAMILY MEDICIN PCP
16222 W HIGHWAY 24 STE 200
WOODLAND PARK
CO
80863
WORK PARTNERS
2646 PATERSON RD, SUITE A
GRAND JUNCTION
CO
81506
WORK WELL OCCUPATIONAL MEDICINE PCP
205 S MAIN ST STE C
LONGMONT
CO
80501
WRAY COMMUNITY DISTRICT HOSPITAL
1017 WEST 7TH STREET
WRAY
CO
80758
YAMPA VALLEY MEDICAL ASSOC PCP
1135 E HIGHWAY 40
CRAIG
CO
81625
YAMPA VALLEY MEDICAL CEN
1024 CENTRAL PARK DRIVE
STEAMBOAT SP
CO
80487
YUMA CLINIC PCP
1000 W. 8TH AVE.
YUMA
CO
80759
YUMA DISTRICT HOSPITAL
1000 W 8TH AVE
YUMA
CO
80759
7 of 7
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