Stride Chc - Peoria | |
3292 Peoria St Aurora CO 80010-1517 | |
(303) 360-6276 | |
(303) 789-7222 |
Full Name | Stride Chc - Peoria |
---|---|
Speciality | Clinic/Center |
Location | 3292 Peoria St, Aurora, Colorado |
Authorized Official Name and Position | April Peer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3037611977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stride Chc - Peoria 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 | Stride Chc - Peoria 3292 Peoria St Aurora CO 80010-1517 Ph: (303) 360-6276 |
NPI Number | 1205098340 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 03/04/2024 |
Medicare PECOS PAC ID | 0648181214 |
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Medicare Enrollment ID | O20221109001376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205098340 | NPI | - | NPPES |
05638754 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Secondary |
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