| Wheat Ridge Family Clinic Pc | |
|
6301 W 38th Ave Wheat Ridge CO 80033-5057 | |
| (303) 940-9118 | |
| (303) 940-5943 |
| Full Name | Wheat Ridge Family Clinic Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6301 W 38th Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Maurice A Archuleta (OWNER PRESIDENT) |
| Authorized Official Contact | 3039409118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheat Ridge Family Clinic Pc 6301 W 38th Ave Wheat Ridge CO 80033-5057 Ph: (303) 940-9118 | Wheat Ridge Family Clinic Pc 6301 W 38th Ave Wheat Ridge CO 80033-5057 Ph: (303) 940-9118 |
| NPI Number | 1013070051 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013070051 | NPI | - | NPPES |
| 04017372 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 27027 (Colorado) | Primary |
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