| Spire Health Pathways | |
|
6895 E Hampden Ave Denver CO 80224-3047 | |
| (970) 217-5400 | |
| Not Available |
| Full Name | Spire Health Pathways |
|---|---|
| Speciality | Family Medicine |
| Location | 6895 E Hampden Ave, Denver, Colorado |
| Authorized Official Name and Position | Crystal Dickerson (MD) |
| Authorized Official Contact | 9702175400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spire Health Pathways 6895 E Hampden Ave Denver CO 80224-3047 Ph: () - | Spire Health Pathways 6895 E Hampden Ave Denver CO 80224-3047 Ph: (970) 217-5400 |
| NPI Number | 1972245595 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 1254713803 |
|---|---|
| Medicare Enrollment ID | O20220729001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972245595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Crystal Dawnelle Dickerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184665697 PECOS PAC ID: 4284823139 Enrollment ID: I20110107001044 |
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