Metro Community Provider Network, Inc. | |
3595 S Teller St Fl 4 Lakewood CO 80235-2014 | |
(303) 360-6276 | |
Not Available |
Full Name | Metro Community Provider Network, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3595 S Teller St Fl 4, Lakewood, Colorado |
Authorized Official Name and Position | Ben Wiederholt (PRESIDENT & CEO) |
Authorized Official Contact | 3037611977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Metro Community Provider Network, Inc. 2255 S Oneida St Denver CO 80224-2522 Ph: (303) 360-6276 | Metro Community Provider Network, Inc. 3595 S Teller St Fl 4 Lakewood CO 80235-2014 Ph: (303) 360-6276 |
NPI Number | 1447873773 |
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Provider Enumeration Date | 05/21/2020 |
Last Update Date | 05/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447873773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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