| Eastside Family Health Center | |
|
501 28th St Denver CO 80205-3003 | |
| (303) 436-6000 | |
| Not Available |
| Full Name | Eastside Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 28th St, 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 |
|---|---|
| Eastside Family Health Center 777 Bannock St # Mc1925 Denver CO 80204-4507 Ph: (303) 436-6000 | Eastside Family Health Center 501 28th St Denver CO 80205-3003 Ph: (303) 436-6000 |
| NPI Number | 1285675371 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 4688583578 |
|---|---|
| Medicare Enrollment ID | O20071010000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285675371 | NPI | - | NPPES |
| 05050083 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0900 (Colorado) | Primary |
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