Medical Center Corp | |
5800 E Evans Ave Ste 101 Denver CO 80222-5320 | |
(303) 946-3322 | |
Not Available |
Full Name | Medical Center Corp |
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Speciality | Clinic/Center |
Location | 5800 E Evans Ave Ste 101, Denver, Colorado |
Authorized Official Name and Position | Sara Vatan (MEDICAL DIRECTOR) |
Authorized Official Contact | 3039463322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Medical Center Corp 1780 S Bellaire St Ste 402 Denver CO 80222-4323 Ph: (303) 946-3322 | Medical Center Corp 5800 E Evans Ave Ste 101 Denver CO 80222-5320 Ph: (303) 946-3322 |
NPI Number | 1083273049 |
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Provider Enumeration Date | 06/12/2019 |
Last Update Date | 06/12/2019 |
Medicare PECOS PAC ID | 2062844780 |
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Medicare Enrollment ID | O20191119001751 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083273049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Atoosa Etminani Amoli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326202896 PECOS PAC ID: 6507933447 Enrollment ID: I20180822002740 |
Provider Name | Sara Vatan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215348222 PECOS PAC ID: 3072809797 Enrollment ID: I20181222000365 |
Provider Name | Jennifer Anne Cammilleri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194193631 PECOS PAC ID: 3173963014 Enrollment ID: I20240425003182 |
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