| Our Lady Of Grace Medical Clinic Pc | |
|
992 W 104th Ave Northglenn CO 80234-3801 | |
| (303) 531-5181 | |
| (303) 531-5185 |
| Full Name | Our Lady Of Grace Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 992 W 104th Ave, Northglenn, Colorado |
| Authorized Official Name and Position | Carlos F Vera (CEO) |
| Authorized Official Contact | 3035315181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Grace Medical Clinic Pc Po Box 350968 Westminster CO 80035-0968 Ph: (303) 531-5181 | Our Lady Of Grace Medical Clinic Pc 992 W 104th Ave Northglenn CO 80234-3801 Ph: (303) 531-5181 |
| NPI Number | 1356474647 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356474647 | NPI | - | NPPES |
| 92600786 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Boulder Valley Gastroenterology Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 Grant St Ste 360, Northglenn, CO 80233 Phone: 303-604-5000 | |
Premier Care Injury Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11154 Huron St # 105-106, Northglenn, CO 80234 Phone: 303-338-1500 Fax: 303-338-1508 | |
Westminster Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11166 Huron St Ste 27, Northglenn, CO 80234 Phone: 303-430-0240 Fax: 303-430-5883 | |
Autism Allies, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11154 Huron St Ste 212, Northglenn, CO 80234 Phone: 303-355-5300 | |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11172 Huron St Ste 20, Northglenn, CO 80234 Phone: 303-568-9694 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11990 Grant St Ste 100, Northglenn, CO 80233 Phone: 866-808-6005 | |
Denver Recovery Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11658 Huron St, Northglenn, CO 80234 Phone: 720-726-2569 Fax: 303-862-4052 |