| The Wish Clinic | |
|
10050 Ralston Rd Unit 3 Arvada CO 80004-4974 | |
| (720) 577-4584 | |
| (720) 577-4587 |
| Full Name | The Wish Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 10050 Ralston Rd Unit 3, Arvada, Colorado |
| Authorized Official Name and Position | Traci A. Kimball (OWNER) |
| Authorized Official Contact | 7205576510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wish Clinic 10050 Ralston Rd Unit 3 Arvada CO 80004-4974 Ph: (720) 577-4584 | The Wish Clinic 10050 Ralston Rd Unit 3 Arvada CO 80004-4974 Ph: (720) 577-4584 |
| NPI Number | 1326449646 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 9739491952 |
|---|---|
| Medicare Enrollment ID | O20150701000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326449646 | NPI | - | NPPES |
| 41180259 | Medicaid | CO |
| Provider Name | Traci Kimball |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841337110 PECOS PAC ID: 0648427344 Enrollment ID: I20120831000571 |
| Provider Name | Jacqueline Moraa Mogusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881162527 PECOS PAC ID: 4981942828 Enrollment ID: I20190219000847 |
| Provider Name | Jacqueline Moraa Mogusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881162527 PECOS PAC ID: 4981942828 Enrollment ID: I20240528002362 |
Towne Square Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5738 Olde Wadsworth Blvd, Arvada, CO 80002 Phone: 303-420-9565 Fax: 303-456-9284 | |
Transition Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9989 W 60th Ave Ste 250, Arvada, CO 80004 Phone: 303-550-0172 Fax: 303-431-1880 | |
Rising Star Behavior Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5921 Taft St, Arvada, CO 80004 Phone: 720-375-4949 | |
Intuitive Life Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8344 Holman St Unit B, Arvada, CO 80005 Phone: 309-267-2534 | |
A Good Nights Sleep Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8241 W Pomona Dr, Arvada, CO 80005 Phone: 720-414-0242 | |
Assessing Alternatives Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5460 Ward Rd Ste 110, Arvada, CO 80002 Phone: 720-996-1340 | |
Above And Beyond Enterprises Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6432 West 78th Ave., Arvada, CO 80003 Phone: 720-495-7692 |