| Metro Community Provider Network Inc | |
|
460 County Road 43 Suite 2 Bailey CO 80421-2503 | |
| (303) 838-1166 | |
| (303) 838-1124 |
| Full Name | Metro Community Provider Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 460 County Road 43, Bailey, Colorado |
| Authorized Official Name and Position | David Myers (CEO) |
| Authorized Official Contact | 3037611977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Community Provider Network Inc 3701 S Broadway Englewood CO 80113-3611 Ph: (303) 761-1977 | Metro Community Provider Network Inc 460 County Road 43 Suite 2 Bailey CO 80421-2503 Ph: (303) 838-1166 |
| NPI Number | 1609031665 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 12/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609031665 | NPI | - | NPPES |
| 11033894 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 18J548 (Colorado) | Primary |