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8664 Martin Luther King Blvd Denver CO 80238-3473 | |
| (281) 415-8837 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 8664 Martin Luther King Blvd, Denver, Colorado |
| Authorized Official Name and Position | Rachel Marinch Carpenter (FOUNDER, CEO) |
| Authorized Official Contact | 7193981901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8664 Martin Luther King Blvd Denver CO 80238-3473 Ph: (281) 415-8837 | 8664 Martin Luther King Blvd Denver CO 80238-3473 Ph: (281) 415-8837 |
| NPI Number | 1023841244 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 1153853932 |
|---|---|
| Medicare Enrollment ID | O20241017003080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023841244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Michael Matergia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790124840 PECOS PAC ID: 6507081353 Enrollment ID: I20160727000326 |
| Provider Name | Rachel Marinch Carpenter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316386469 PECOS PAC ID: 6204159007 Enrollment ID: I20160801001220 |
| Provider Name | Emily C Rand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467809566 PECOS PAC ID: 8729366323 Enrollment ID: I20191206000420 |
| Provider Name | Maija Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659875714 PECOS PAC ID: 1759638216 Enrollment ID: I20210726003178 |
| Provider Name | Quinn Colin Doyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992332530 PECOS PAC ID: 8628498847 Enrollment ID: I20230719002206 |
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