| Metro Community Provider Network, Inc. | |
|
3595 S Teller St Fl 4 Lakewood CO 80235-2014 | |
| (303) 360-6276 | |
| (303) 274-7093 |
| Full Name | Metro Community Provider Network, Inc. |
|---|---|
| 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 |
|---|---|
| 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 | 1861014805 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861014805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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