| Federico F. Pena Family Health Center | |
|
1339 S Federal Blvd Denver CO 80219-4235 | |
| (303) 602-0000 | |
| (303) 602-0500 |
| Full Name | Federico F. Pena Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1339 S Federal Blvd, Denver, Colorado |
| Authorized Official Name and Position | Ansar Hassan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036027083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Federico F. Pena Family Health Center 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Federico F. Pena Family Health Center 1339 S Federal Blvd Denver CO 80219-4235 Ph: (303) 602-0000 |
| NPI Number | 1992161780 |
|---|---|
| Provider Enumeration Date | 01/08/2016 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 4688583578 |
|---|---|
| Medicare Enrollment ID | O20160805000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992161780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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