| Lake Middle School | |
|
1820 Lowell Blvd Denver CO 80204-1549 | |
| (720) 424-0281 | |
| Not Available |
| Full Name | Lake Middle School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1820 Lowell Blvd, Denver, Colorado |
| Authorized Official Name and Position | Ansar Hassan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036027083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Middle School 777 Bannock St Denver CO 80204-4507 Ph: (303) 436-6000 | Lake Middle School 1820 Lowell Blvd Denver CO 80204-1549 Ph: (720) 424-0281 |
| NPI Number | 1144242900 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144242900 | NPI | - | NPPES |
| 39577856 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0900 (Colorado) | Primary |
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