| Our Lady Of Hope Medical Clinic Inc. | |
|
7920 S University Blvd Ste 100 Centennial CO 80122-5103 | |
| (720) 344-2680 | |
| (720) 344-2681 |
| Full Name | Our Lady Of Hope Medical Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7920 S University Blvd Ste 100, Centennial, Colorado |
| Authorized Official Name and Position | Edwin Theodore Anselmi (PHYSICIAN) |
| Authorized Official Contact | 7203442680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Hope Medical Clinic Inc. 7920 S University Blvd Ste 100 Centennial CO 80122-5103 Ph: (720) 344-2680 | Our Lady Of Hope Medical Clinic Inc. 7920 S University Blvd Ste 100 Centennial CO 80122-5103 Ph: (720) 344-2680 |
| NPI Number | 1265890917 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Medicare PECOS PAC ID | 9537446109 |
|---|---|
| Medicare Enrollment ID | O20170509000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265890917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 39788 (Colorado) | Primary |
| Provider Name | Edwin T Anselmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790780989 PECOS PAC ID: 7012995004 Enrollment ID: I20040707001199 |
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