| La Clinica Tepeyac, Inc | |
|
2101 E. 48th Av. Denver CO 80216 | |
| (303) 458-5302 | |
| Not Available |
| Full Name | La Clinica Tepeyac, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 E. 48th Av., Denver, Colorado |
| Authorized Official Name and Position | James Garcia (CEO) |
| Authorized Official Contact | 3034585302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Tepeyac, Inc 4725 High St Denver CO 80216-2220 Ph: (303) 458-5302 | La Clinica Tepeyac, Inc 2101 E. 48th Av. Denver CO 80216 Ph: (303) 458-5302 |
| NPI Number | 1659080620 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 4082939962 |
|---|---|
| Medicare Enrollment ID | O20230405002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659080620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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