| Metro Community Provider Network Inc | |
|
701 24th St Golden CO 80401-2379 | |
| (303) 360-6276 | |
| (303) 789-7222 |
| Full Name | Metro Community Provider Network Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 24th St, Golden, Colorado |
| Authorized Official Name and Position | April Peer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3037611977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Community Provider Network Inc 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 | Metro Community Provider Network Inc 701 24th St Golden CO 80401-2379 Ph: (303) 360-6276 |
| NPI Number | 1316591662 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 03/04/2024 |
| Medicare PECOS PAC ID | 0648181214 |
|---|---|
| Medicare Enrollment ID | O20230216000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316591662 | NPI | - | NPPES |
| 9000190852 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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