| Hall Medical, Llc | |
|
3190 S Wadsworth Blvd Ste 250 Lakewood CO 80227-4800 | |
| (303) 904-0976 | |
| (303) 948-5318 |
| Full Name | Hall Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3190 S Wadsworth Blvd Ste 250, Lakewood, Colorado |
| Authorized Official Name and Position | Jeanne Hall (OWNER) |
| Authorized Official Contact | 3039040976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hall Medical, Llc 3190 S Wadsworth Blvd Ste 250 Lakewood CO 80227-4800 Ph: (303) 904-0976 | Hall Medical, Llc 3190 S Wadsworth Blvd Ste 250 Lakewood CO 80227-4800 Ph: (303) 904-0976 |
| NPI Number | 1164724274 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 3274721071 |
|---|---|
| Medicare Enrollment ID | O20101221000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164724274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48824 (Colorado) | Primary |
| Provider Name | Jeanne Marie Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588625511 PECOS PAC ID: 9739118688 Enrollment ID: I20101221000439 |
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