| Ppm Colorado Llc | |
|
5161 E Arapahoe Rd Ste 320 Centennial CO 80122-2385 | |
| (888) 253-6598 | |
| Not Available |
| Full Name | Ppm Colorado Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5161 E Arapahoe Rd Ste 320, Centennial, Colorado |
| Authorized Official Name and Position | Amber Tueller (CORPORATE SECRETARY) |
| Authorized Official Contact | 2084011400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppm Colorado Llc 1916 N 700 W Ste 110 Layton UT 84041-5754 Ph: (385) 427-1570 | Ppm Colorado Llc 5161 E Arapahoe Rd Ste 320 Centennial CO 80122-2385 Ph: (888) 253-6598 |
| NPI Number | 1669216362 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Medicare PECOS PAC ID | 7517495039 |
|---|---|
| Medicare Enrollment ID | O20250113000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669216362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gagandeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477620946 PECOS PAC ID: 9436241791 Enrollment ID: I20070816000773 |
| Provider Name | Emily Ann Santeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588389712 PECOS PAC ID: 0648708800 Enrollment ID: I20250115002966 |
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