IV NUTRITION OF WASH PARK NPI 1700584414

NPI Information

NPI: 1700584414
Provider Name: IV NUTRITION OF WASH PARK
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1211 E ALAMEDA AVE
DENVER, CO
ZIP 80209
Phone: (720) 259-4404
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IV NUTRITION OF WASH PARK is an infusion therapy clinic center in Denver, CO. IV NUTRITION OF WASH PARK NPI is 1700584414. The provider is registered as an organization entity type.

The provider's business location address is:

1211 E ALAMEDA AVE
DENVER, CO
ZIP 80209-420
Phone: (720) 259-4404

The provider's authorized official is Edmond Terrill Johnson .
The authorized official title is Mr and has the following contact phone number (172) 072-7350.

The enumeration date for this NPI number is 2/21/2023 and was last updated on 2/21/2023.

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	261QI0500X	Clinic/Center	Infusion Therapy			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	682	OTHER	COLORADO	682

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

NPI Synchronization or Removal

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