Healthcare Provider's Profile
Full Name | |
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Type | Facility |
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Speciality | Community/behavioral Health |
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Location | 3451 S Elm St, Denver, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730609165
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 06/27/2017
Medical Identifiers
Medical identifiers for
such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730609165 | NPI | - | NPPES |
52437 | Other | CO | COLORADO DEPARTMENT OF EDUCATION |
68209339 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP.0001910 (Colorado) | Secondary |
251S00000X | Community/behavioral Health | 52439 (Colorado) | Primary |
252Y00000X | Early Intervention Provider Agency | 52439 (Colorado) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
3451 S Elm St, Denver, CO 80222-7314 Ph: (191) 343-90524 | 3451 S Elm St, Denver, CO 80222-7314 Ph: (191) 343-90524 |
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