| |
3191 S Vaughn Way Ste 101 Aurora CO 80014-3505 | |
(303) 755-4600 | |
(303) 745-3884 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3191 S Vaughn Way Ste 101, Aurora, Colorado |
Authorized Official Name and Position | Suzanne Belibi (ADMINISTRATOR) |
Authorized Official Contact | 3037554600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3191 S Vaughn Way Ste 101 Aurora CO 80014-3505 Ph: (303) 755-4600 | 3191 S Vaughn Way Ste 101 Aurora CO 80014-3505 Ph: (303) 755-4600 |
NPI Number | 1275864449 |
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Provider Enumeration Date | 01/27/2010 |
Last Update Date | 06/11/2021 |
Medicare PECOS PAC ID | 5395877716 |
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Medicare Enrollment ID | O20100721000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275864449 | NPI | - | NPPES |
42806046 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (Colorado) | Primary |
Provider Name | Franck A Belibi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831211069 PECOS PAC ID: 6406988724 Enrollment ID: I20100721000615 |
Provider Name | Suzanne Essengue Belibi |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1265558571 PECOS PAC ID: 5395920052 Enrollment ID: I20110425000407 |
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