Thomas Jefferson High School Sbhc | |
3950 S Holly St Denver CO 80237-1117 | |
(720) 423-7000 | |
Not Available |
Full Name | Thomas Jefferson High School Sbhc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3950 S Holly St, Denver, Colorado |
Authorized Official Name and Position | Ansar Hassan (CFO) |
Authorized Official Contact | 3036027083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas Jefferson High School Sbhc 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Thomas Jefferson High School Sbhc 3950 S Holly St Denver CO 80237-1117 Ph: (720) 423-7000 |
NPI Number | 1114341963 |
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Provider Enumeration Date | 02/14/2014 |
Last Update Date | 10/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114341963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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