| Mmhs Llc | |
|
15315 Willow St Thornton CO 80602-4400 | |
| (720) 704-5846 | |
| (720) 704-5449 |
| Full Name | Mmhs Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15315 Willow St, Thornton, Colorado |
| Authorized Official Name and Position | Dana Fossand (PRESIDENT) |
| Authorized Official Contact | 7207045846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmhs Llc 15315 Willow St Thornton CO 80602-4400 Ph: (720) 704-5846 | Mmhs Llc 15315 Willow St Thornton CO 80602-4400 Ph: (720) 704-5846 |
| NPI Number | 1972266377 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7315335841 |
|---|---|
| Medicare Enrollment ID | O20211102001615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972266377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel H Uehling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083759179 PECOS PAC ID: 1153470034 Enrollment ID: I20090526000199 |
| Provider Name | Helene Homer-ishikawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720510530 PECOS PAC ID: 1759656283 Enrollment ID: I20171009001929 |
| Provider Name | Drury Jean Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912215617 PECOS PAC ID: 1850789389 Enrollment ID: I20211102001675 |
| Provider Name | Selamawit Beyene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902428154 PECOS PAC ID: 6406246990 Enrollment ID: I20211123002138 |
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