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Metro Community Provider Network Inc

Metro Community Provider Network Inc is a health care provider in Englewood, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 460 County Road 43, Suite 2, Bailey, CO 80421-2503, US
Practice Location Phone303-838-1166
Practice Location Fax303-838-1124
Legal Business NameMETRO COMMUNITY PROVIDER NETWORK INC
Other Organization NamePLATTE CANYON CLINIC
Other Organization Name TypeAn Other Name
NPI ?1609031665
Entity TypeOrganization
Enumeration Date ? Jul 18, 2008
Last Update Date ? Dec 10, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Metro Community Provider Network Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) 18J548Colorado

legacy-id-icon Legacy Provider IDs of Metro Community Provider Network Inc

Provider IdIssuer StateIssuer TypeIssuer
11033894ColoradoMedicaid

official-icon Authorized Official of Metro Community Provider Network Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Metro Community Provider Network Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official David Myers
Authorized Official Title/PositionCEO
Authorized Official Phone Number303-761-1977