| Rocky Mountain Health Center South Pc | |
|
3540 S Poplar St Suite 200 Denver CO 80237-1362 | |
| (303) 226-0013 | |
| (303) 757-6148 |
| Full Name | Rocky Mountain Health Center South Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3540 S Poplar St, Denver, Colorado |
| Authorized Official Name and Position | Christina M Booze (OFFICE MANAGER) |
| Authorized Official Contact | 3032260013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Health Center South Pc 3540 S Poplar St Suite 200 Denver CO 80237-1362 Ph: (303) 226-0013 | Rocky Mountain Health Center South Pc 3540 S Poplar St Suite 200 Denver CO 80237-1362 Ph: (303) 226-0013 |
| NPI Number | 1588833826 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1850368200 |
|---|---|
| Medicare Enrollment ID | O20040914001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588833826 | NPI | - | NPPES |
| DA6102 | Other | CO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Colorado) | Primary |
| Provider Name | Donald A Forest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588664841 PECOS PAC ID: 3476588666 Enrollment ID: I20050927000619 |
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