| Capitol Heights Medical Inc | |
|
1200 Madison St Denver CO 80206-3440 | |
| (720) 588-6478 | |
| Not Available |
| Full Name | Capitol Heights Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Madison St, Denver, Colorado |
| Authorized Official Name and Position | Kristin Holmes (MANAGER) |
| Authorized Official Contact | 7204708856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Heights Medical Inc 1200 Madison St Denver CO 80206-3440 Ph: (720) 588-6478 | Capitol Heights Medical Inc 1200 Madison St Denver CO 80206-3440 Ph: (720) 588-6478 |
| NPI Number | 1689382053 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 9739544305 |
|---|---|
| Medicare Enrollment ID | O20230503003418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689382053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20230503003520 |
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