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METRO COMMUNITY PROVIDER NETWORK INC NPI 1609031665


NPI Information

NPI: 1609031665
Provider Name: METRO COMMUNITY PROVIDER NETWORK INC

Other Name: PLATTE CANYON CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
460 COUNTY ROAD 43
SUITE 2
BAILEY, CO
ZIP 80421
Phone: (303) 838-1166
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METRO COMMUNITY PROVIDER NETWORK INC is a federally qualified health center (fqhc) clinic center in Bailey, CO. METRO COMMUNITY PROVIDER NETWORK INC NPI is 1609031665. The provider is registered as an organization entity type.
The provider Other Name Is Platte Canyon Clinic.

The provider's business location address is:

460 COUNTY ROAD 43
SUITE 2
BAILEY, CO
ZIP 80421-503
Phone: (303) 838-1166
Fax: (303) 838-1124

The provider's authorized official is David Myers .
The authorized official title is Ceo and has the following contact phone number (303) 761-1977.

The enumeration date for this NPI number is 7/18/2008 and was last updated on 12/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)18J548COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111033894MEDICAIDCOLORADO
2061900MEDICARE OSCAR/CERTIFICATIONCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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