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700 S. Potomac Street Aurora CO 80011-6844 | |
| (303) 695-2834 | |
| (866) 282-0732 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 700 S. Potomac Street, Aurora, Colorado |
| Authorized Official Name and Position | Hilda Scenet Dalfonso (CFO) |
| Authorized Official Contact | 3617611000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1501 S Potomac St Aurora CO 80012-5411 Ph: (303) 695-2834 | 700 S. Potomac Street Aurora CO 80011-6844 Ph: (303) 695-2834 |
| NPI Number | 1477592566 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Medicare PECOS PAC ID | 0143139857 |
|---|---|
| Medicare Enrollment ID | O20070608000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477592566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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