Augmentedcare360 Llc | |
9057 E Mississippi Ave Apt 6-202 Denver CO 80247-6845 | |
(720) 299-6850 | |
Not Available |
Full Name | Augmentedcare360 Llc |
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Speciality | Clinic/Center |
Location | 9057 E Mississippi Ave Apt 6-202, Denver, Colorado |
Authorized Official Name and Position | Hiba Salem (NURSE PRACTITIONER) |
Authorized Official Contact | 7202996850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Augmentedcare360 Llc 9057 E Mississippi Ave Apt 6-202 Denver CO 80247-6845 Ph: () - | Augmentedcare360 Llc 9057 E Mississippi Ave Apt 6-202 Denver CO 80247-6845 Ph: (720) 299-6850 |
NPI Number | 1821869413 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 2961849377 |
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Medicare Enrollment ID | O20240321000689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821869413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Hiba Salem |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598415481 PECOS PAC ID: 0244606275 Enrollment ID: I20221017002395 |
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