| Metro Community Provider Network Inc | |
|
7495 W 29th Ave Wheat Ridge CO 80033-8002 | |
| (303) 761-1977 | |
| (303) 343-0247 |
| Full Name | Metro Community Provider Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7495 W 29th Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Christi Garriott (SR. DIRECTOR OF OE/BI) |
| 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 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 | Metro Community Provider Network Inc 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 |
| NPI Number | 1477679959 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477679959 | NPI | - | NPPES |
| 01552511 | Medicaid | CO | |
| 21477558 | Medicaid | CO | |
| 84656581 | Medicaid | CO | |
| 9000183608 | Medicaid | CO | |
| 9000183615 | Medicaid | CO | |
| 86401360 | Medicaid | CO | |
| 9000160508 | Medicaid | CO | |
| 05638754 | Medicaid | CO | |
| 17250048 | Medicaid | CO | |
| 9000202877 | Medicaid | CO | |
| 9000206459 | Medicaid | CO | |
| 69585547 | Medicaid | CO | |
| 9000190852 | Medicaid | CO | |
| 9000207259 | Medicaid | CO | |
| 31601049 | Medicaid | CO | |
| 86602373 | Medicaid | CO | |
| 05638291 | Medicaid | CO | |
| 49105060 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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