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1001 Yosemite St Denver CO 80230-6003 | |
| (303) 602-4545 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1001 Yosemite St, Denver, Colorado |
| Authorized Official Name and Position | April Audain (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036024965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
777 Bannock St Denver CO 80204-4507 Ph: (303) 436-6000 | 1001 Yosemite St Denver CO 80230-6003 Ph: (303) 602-4545 |
| NPI Number | 1275957029 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275957029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |