| Rose Andom Health Center | |
|
1330 Fox St Denver CO 80204-2602 | |
| (720) 337-4419 | |
| Not Available |
| Full Name | Rose Andom Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1330 Fox St, Denver, Colorado |
| Authorized Official Name and Position | Ansar J 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 |
|---|---|
| Rose Andom Health Center 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Rose Andom Health Center 1330 Fox St Denver CO 80204-2602 Ph: (720) 337-4419 |
| NPI Number | 1295293579 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 2769893056 |
|---|---|
| Medicare Enrollment ID | O20201117001825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295293579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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