Metro Community Provider Network, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Aurora, CO. Organization (NPI-2).
NPI number1679110274
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1679110274
- Entity type
- Organization (NPI-2)
- Legal business name
- Metro Community Provider Network, INC.
- Organization subpart
- Yes
- Enumeration date
- Dec 3, 2019
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Stride Chc - Chambers & Hampden Dental Clinic (Doing Business As)
Practice location
15132 E Hampden AveAurora, CO 80014-5072
Phone 303-360-6276 · Fax 303-343-0247
Mailing address
2255 S Oneida StDenver, CO 80224-2522
Phone 303-360-6276 · Fax 303-343-0247
Authorized official
Yolanda Trevino
Patient Accounts Manager
3037612153
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