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11005 Ralston Rd Ste 202 Arvada CO 80004-4551 | |
| (303) 360-6276 | |
| (303) 343-0247 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11005 Ralston Rd Ste 202, Arvada, Colorado |
| Authorized Official Name and Position | Yolanda Trevino (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 3037612153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2255 S Oneida St Denver CO 80224-2522 Ph: (303) 360-6276 | 11005 Ralston Rd Ste 202 Arvada CO 80004-4551 Ph: (303) 360-6276 |
| NPI Number | 1588201180 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588201180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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