| Stride Chc - Alameda High School Dental Clinic | |
|
1255 S Wadsworth Blvd Lakewood CO 80232-5406 | |
| (303) 360-6276 | |
| (303) 343-0247 |
| Full Name | Stride Chc - Alameda High School Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1255 S Wadsworth Blvd, Lakewood, 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 |
|---|---|
| Stride Chc - Alameda High School Dental Clinic 2255 S Oneida St Denver CO 80224-2522 Ph: (303) 360-6276 | Stride Chc - Alameda High School Dental Clinic 1255 S Wadsworth Blvd Lakewood CO 80232-5406 Ph: (303) 360-6276 |
| NPI Number | 1851938450 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851938450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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