Lakewood Medical Center Corporation
Health Maintenance Organization in Lakewood, CO. Organization (NPI-2).
NPI number1124450366
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1124450366
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakewood Medical Center Corporation
- Organization subpart
- No
- Enumeration date
- Jul 30, 2013
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Other names
- Lakewood Medical Center (Doing Business As)
Practice location
1700 Wadsworth BlvdLakewood, CO 80214-5256
Phone 303-238-1488 · Fax 303-238-1459
Mailing address
1700 Wadsworth BlvdLakewood, CO 80214-5256
Phone 303-238-1488 · Fax 303-238-1459
Other practice locations
1800 N Emerson St Ste 240
Denver, CO 80218-1067
Denver, CO 80218-1067
Phone 303-238-1488 · Fax 303-238-1459
Authorized official
Hai Phong Bui
President
3032381488
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