National Jewish Health Provider Group | |
1400 Jackson St Denver CO 80206-2761 | |
(303) 388-4461 | |
(303) 398-1211 |
Full Name | National Jewish Health Provider Group |
---|---|
Speciality | Clinic/center |
Location | 1400 Jackson St, Denver, Colorado |
Authorized Official Name and Position | Vicki Medina (DIRECTOR, MEDICAL STAFF SERVICES) |
Authorized Official Contact | 3033884461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
National Jewish Health Provider Group 1400 Jackson St Denver CO 80206-2761 Ph: (303) 388-4461 | National Jewish Health Provider Group 1400 Jackson St Denver CO 80206-2761 Ph: (303) 388-4461 |
NPI Number | 1801493911 |
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Provider Enumeration Date | 10/02/2020 |
Last Update Date | 01/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801493911 | NPI | - | NPPES |
CJ6004 | Other | CO | MEDICARE PTAN |
04001905 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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