| Sloan's Lake Primary Care | |
|
4007 W Colfax Ave Denver CO 80204 | |
| (303) 436-6000 | |
| Not Available |
| Full Name | Sloan's Lake Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4007 W Colfax Ave, Denver, Colorado |
| Authorized Official Name and Position | Ansar Hassan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036027083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sloan's Lake Primary Care 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Sloan's Lake Primary Care 4007 W Colfax Ave Denver CO 80204 Ph: (303) 436-6000 |
| NPI Number | 1174158992 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 2769893056 |
|---|---|
| Medicare Enrollment ID | O20201117003254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174158992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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