NINTH AVENUE INTERNAL MEDICINE LLC NPI 1639181126

NPI Information

NPI: 1639181126
Provider Name: NINTH AVENUE INTERNAL MEDICINE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 06D1015598

Address:
4500 E 9TH AVE
SUITE 140
DENVER, CO
ZIP 80220
Phone: (303) 394-2152
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NINTH AVENUE INTERNAL MEDICINE LLC is a health service clinic center in Denver, CO. NINTH AVENUE INTERNAL MEDICINE LLC NPI is 1639181126. The provider is registered as an organization entity type.

The provider's business location address is:

4500 E 9TH AVE
SUITE 140
DENVER, CO
ZIP 80220-900
Phone: (303) 394-2152
Fax: (303) 394-2496

The provider's authorized official is Daniel Witten .
The authorized official title is Managing Partner and has the following contact phone number (303) 394-2152.

The CLIA number assigned to this NPI record is 06D1015598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 9/24/2007.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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
1	73100374	MEDICAID	COLORADO
2	503838	MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

NPI Synchronization or Removal

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