| Stride Chc - Union Square Health Plaza Dental Clinic | |
|
12055 W 2nd Pl # 200 Lakewood CO 80228-1506 | |
| (303) 360-6276 | |
| (303) 343-0247 |
| Full Name | Stride Chc - Union Square Health Plaza Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12055 W 2nd Pl # 200, Lakewood, Colorado |
| Authorized Official Name and Position | Yolanda Trevino (PATIENT ACCOUNTS MANGER) |
| Authorized Official Contact | 3037612153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stride Chc - Union Square Health Plaza Dental Clinic 2255 S Oneida St Denver CO 80224-2522 Ph: (303) 360-6276 | Stride Chc - Union Square Health Plaza Dental Clinic 12055 W 2nd Pl # 200 Lakewood CO 80228-1506 Ph: (303) 360-6276 |
| NPI Number | 1033755392 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033755392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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