| Thomas Jefferson High School Sbhc | |
|
3950 S Holly St Denver CO 80237-1117 | |
| (720) 423-7000 | |
| Not Available |
| Full Name | Thomas Jefferson High School Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3950 S Holly St, Denver, Colorado |
| Authorized Official Name and Position | April Audain (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3036024965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jefferson High School Sbhc 777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | Thomas Jefferson High School Sbhc 3950 S Holly St Denver CO 80237-1117 Ph: (720) 423-7000 |
| NPI Number | 1114341963 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114341963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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