Federico F. Pena Family Health Center Dental Clinic | |
1339 S Federal Blvd Denver CO 80219-4235 | |
(303) 602-0000 | |
(303) 602-0500 |
Full Name | Federico F. Pena Family Health Center Dental Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1339 S Federal Blvd, Denver, Colorado |
Authorized Official Name and Position | Ansar Hassan (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3036027083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Federico F. Pena Family Health Center Dental Clinic 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Federico F. Pena Family Health Center Dental Clinic 1339 S Federal Blvd Denver CO 80219-4235 Ph: (303) 602-0000 |
NPI Number | 1740641521 |
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Provider Enumeration Date | 03/08/2016 |
Last Update Date | 10/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740641521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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