Stone Mountain Healthcare, Pc | |
12081 W Alameda Pkwy Ste 438 Lakewood CO 80228-2701 | |
(303) 551-3643 | |
Not Available |
Full Name | Stone Mountain Healthcare, Pc |
---|---|
Speciality | Family Medicine |
Location | 12081 W Alameda Pkwy Ste 438, Lakewood, Colorado |
Authorized Official Name and Position | Elizabeth Kelts (PRESIDENT) |
Authorized Official Contact | 3034653316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stone Mountain Healthcare, Pc 14774 Fenton St Broomfield CO 80020-6116 Ph: (303) 465-3316 | Stone Mountain Healthcare, Pc 12081 W Alameda Pkwy Ste 438 Lakewood CO 80228-2701 Ph: (303) 551-3643 |
NPI Number | 1851779169 |
---|---|
Provider Enumeration Date | 05/07/2015 |
Last Update Date | 07/30/2021 |
Medicare PECOS PAC ID | 3173835949 |
---|---|
Medicare Enrollment ID | O20150708000382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851779169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43943 (Colorado) | Primary |
Provider Name | Elizabeth As Kelts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649298746 PECOS PAC ID: 9436163425 Enrollment ID: I20060130000201 |
Comprehensive Behavioral Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 W Alameda Ave, Lakewood, CO 80226 Phone: 303-885-4774 | |
Lakewood Injury Treatment Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Parfet St, Suite 104, Lakewood, CO 80215 Phone: 303-330-0024 Fax: 303-232-1798 |