Westside Family Health Center | |
1100 Federal Blvd Denver CO 80204-3219 | |
(303) 436-4200 | |
Not Available |
Full Name | Westside Family Health Center |
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Speciality | Clinic/Center |
Location | 1100 Federal Blvd, Denver, Colorado |
Authorized Official Name and Position | Peg Burnette (CHIEF REVENUE OFFICER) |
Authorized Official Contact | 3036026739 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Westside Family Health Center 777 Bannock St # Mc1925 Denver CO 80204-4507 Ph: (303) 436-6000 | Westside Family Health Center 1100 Federal Blvd Denver CO 80204-3219 Ph: (303) 436-4200 |
NPI Number | 1801837810 |
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Provider Enumeration Date | 06/09/2006 |
Last Update Date | 01/02/2024 |
Medicare PECOS PAC ID | 4688583578 |
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Medicare Enrollment ID | O20071010000857 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801837810 | NPI | - | NPPES |
05050091 | Medicaid | CO | |
06D0055684 | Other | CO | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0900 (Colorado) | Primary |
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