| La Clinica Tepeyac, Inc | |
|
5100 Lincoln St Denver CO 80216-2056 | |
| (303) 458-5302 | |
| (303) 583-0152 |
| Full Name | La Clinica Tepeyac, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5100 Lincoln St, Denver, Colorado |
| Authorized Official Name and Position | Jim Garcia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3034585302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Tepeyac, Inc 4725 High St Denver CO 80216-2220 Ph: (303) 458-5302 | La Clinica Tepeyac, Inc 5100 Lincoln St Denver CO 80216-2056 Ph: (303) 458-5302 |
| NPI Number | 1679162101 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679162101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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