| Metro Community Provider Network, Inc. | |
|
3595 South Teller Street Lakewood CO 80235-2014 | |
| (303) 239-9964 | |
| (303) 237-4343 |
| Full Name | Metro Community Provider Network, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3595 South Teller Street, Lakewood, Colorado |
| Authorized Official Name and Position | Ben R. Wiederholt (PRESIDENT AND 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. 2255 S Oneida St Denver CO 80224-2522 Ph: (303) 761-1977 | Metro Community Provider Network, Inc. 3595 South Teller Street Lakewood CO 80235-2014 Ph: (303) 239-9964 |
| NPI Number | 1679931646 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679931646 | NPI | - | NPPES |
| 60135131 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
Colorado Physician Partners, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Garrison St Ste A, Lakewood, CO 80226 Phone: 720-728-5170 Fax: 720-866-9967 | |
Catholic Health Initiatives Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S Routt St Ste 300, Lakewood, CO 80228 Phone: 720-321-8280 Fax: 720-321-8281 | |
Metro Community Provider Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12055 W 2nd Pl # 200, Lakewood, CO 80228 Phone: 303-360-6276 Fax: 303-343-0247 | |
Metro Community Provider Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 S Teller St, Lakewood, CO 80226 Phone: 303-360-6276 Fax: 303-343-0247 | |
Colorado Coalition For The Homeless Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1793 Kendall St, Lakewood, CO 80214 Phone: 303-293-2220 | |
Lakewood Injury Treatment Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Parfet St, Suite 104, Lakewood, CO 80215 Phone: 303-330-0024 Fax: 303-232-1798 | |
Penelope H Thron-weber Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 S Wadsworth Blvd, Lakewood, CO 80232 Phone: 303-985-8773 |