| Centura Porter Adventist Hospital Psych Unit | |
|
2525 S Downing St Denver CO 80210-5817 | |
| (303) 778-1955 | |
| Not Available |
| Full Name | Centura Porter Adventist Hospital Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2525 S Downing St, Denver, Colorado |
| Authorized Official Name and Position | Andrew Whitlock (CFO) |
| Authorized Official Contact | 3037785892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Porter Adventist Hospital Psych Unit Po Box 801106 Kansas City MO 64180-1106 Ph: (800) 953-0104 | Centura Porter Adventist Hospital Psych Unit 2525 S Downing St Denver CO 80210-5817 Ph: (303) 778-1955 |
| NPI Number | 1497763262 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 0941110886 |
|---|---|
| Medicare Enrollment ID | O20070108000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497763262 | NPI | - | NPPES |
| 05064001 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 1036 (Colorado) | Primary |
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