Ivy Comprehensive Care Llc | |
9888 Spring Hill Dr Highlands Ranch CO 80129-4351 | |
(434) 825-9240 | |
Not Available |
Full Name | Ivy Comprehensive Care Llc |
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Speciality | Family Medicine |
Location | 9888 Spring Hill Dr, Highlands Ranch, Colorado |
Authorized Official Name and Position | Marisa Danielle Christensen (OWNER/PHYSICIAN) |
Authorized Official Contact | 4348259240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ivy Comprehensive Care Llc 9888 Spring Hill Dr Highlands Ranch CO 80129-4351 Ph: (434) 825-9240 | Ivy Comprehensive Care Llc 9888 Spring Hill Dr Highlands Ranch CO 80129-4351 Ph: (434) 825-9240 |
NPI Number | 1871094821 |
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Provider Enumeration Date | 02/26/2018 |
Last Update Date | 12/12/2024 |
Medicare PECOS PAC ID | 9638432073 |
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Medicare Enrollment ID | O20180417000803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871094821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Marisa D Christensen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417049974 PECOS PAC ID: 1456381193 Enrollment ID: I20050812000799 |
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