| |
7495 W 29th Ave Wheat Ridge CO 80033-8002 | |
(303) 761-1977 | |
(303) 343-0247 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 7495 W 29th Ave, Wheat Ridge, Colorado |
Authorized Official Name and Position | Christi Garriott (SR. DIRECTOR OF OE/BI) |
Authorized Official Contact | 3037611977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 | 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 |
NPI Number | 1477679959 |
---|---|
Provider Enumeration Date | 03/22/2007 |
Last Update Date | 05/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477679959 | NPI | - | NPPES |
01552511 | Medicaid | CO | |
21477558 | Medicaid | CO | |
84656581 | Medicaid | CO | |
9000183608 | Medicaid | CO | |
9000183615 | Medicaid | CO | |
86401360 | Medicaid | CO | |
9000160508 | Medicaid | CO | |
05638754 | Medicaid | CO | |
17250048 | Medicaid | CO | |
9000202877 | Medicaid | CO | |
9000206459 | Medicaid | CO | |
69585547 | Medicaid | CO | |
9000190852 | Medicaid | CO | |
9000207259 | Medicaid | CO | |
31601049 | Medicaid | CO | |
86602373 | Medicaid | CO | |
05638291 | Medicaid | CO | |
49105060 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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