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DENVER RECOVERY GROUP LLC NPI 1912554668


NPI Information

NPI: 1912554668
Provider Name: DENVER RECOVERY GROUP LLC

Other Name: DENVER RECOVERY GROUP - WEST

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
5330 MANHATTAN CIR STE H
BOULDER, CO
ZIP 80303
Phone: (720) 536-5571
Get Directions

DENVER RECOVERY GROUP LLC is an addiction medicine family medicine in Boulder, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DENVER RECOVERY GROUP LLC NPI is 1912554668. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Denver Recovery Group - West.

The provider's business location address is:

5330 MANHATTAN CIR STE H
BOULDER, CO
ZIP 80303-240
Phone: (720) 536-5571

The provider's authorized official is Karla Chavez .
The authorized official title is Billing Manager and has the following contact phone number (575) 993-5225.

The enumeration date for this NPI number is 8/19/2019 and was last updated on 4/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000141712MEDICAIDCOLORADO

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

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