| Miles Medical Group LLC | |
|
1500 N Grant St # 4467 Denver CO 80203-1859 | |
| (970) 306-6819 | |
| (650) 374-5584 |
| Full Name | Miles Medical Group LLC |
|---|---|
| Speciality | General Practice |
| Location | 1500 N Grant St # 4467, Denver, Colorado |
| Authorized Official Name and Position | Hannah Labove (PHYSICIAN) |
| Authorized Official Contact | 9703066819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Medical Group LLC 1441 Little Raven St Apt 17008 Denver CO 80202-6449 Ph: (973) 886-4872 | Miles Medical Group LLC 1500 N Grant St # 4467 Denver CO 80203-1859 Ph: (970) 306-6819 |
| NPI Number | 1215641683 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 06/30/2025 |
| Certification Date | 06/30/2025 |
| Medicare PECOS PAC ID | 5698147254 |
|---|---|
| Medicare Enrollment ID | O20230207002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215641683 | NPI | - | NPPES |
| 1477087146 | Medicaid | FL | |
| 1477087146 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Hannah Labove |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477087146 PECOS PAC ID: 3274944343 Enrollment ID: I20201120000444 |
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