| Stout Street Recuperative Care Center | |
|
2175 California St Denver CO 80205-2821 | |
| (303) 293-2220 | |
| Not Available |
| Full Name | Stout Street Recuperative Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2175 California St, Denver, Colorado |
| Authorized Official Name and Position | Pete J Stoller (CFO) |
| Authorized Official Contact | 3033129606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stout Street Recuperative Care Center 2111 Champa St Denver CO 80205-2529 Ph: (303) 293-2220 | Stout Street Recuperative Care Center 2175 California St Denver CO 80205-2821 Ph: (303) 293-2220 |
| NPI Number | 1841936572 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 7618958687 |
|---|---|
| Medicare Enrollment ID | O20230327002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841936572 | NPI | - | NPPES |
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