| Denver Health - Substance Abuse | |
|
777 Bannock St Denver CO 80204-4507 | |
| (303) 436-5690 | |
| (303) 436-6389 |
| Full Name | Denver Health - Substance Abuse |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 777 Bannock St, Denver, Colorado |
| Authorized Official Name and Position | Ansar Hassan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036027083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Health - Substance Abuse 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-5690 | Denver Health - Substance Abuse 777 Bannock St Denver CO 80204-4507 Ph: (303) 436-5690 |
| NPI Number | 1356425102 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 4688583578 |
|---|---|
| Medicare Enrollment ID | O20200225002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356425102 | NPI | - | NPPES |
| 80107265 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1053-00 (Colorado) | Primary |
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