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NPI Code Detail

MEDICARE: JERRY ARAGON CONSTRUCTION

MEDICARE: JERRY ARAGON CONSTRUCTION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171WH0202XHome Modifications Contractor9634CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104142444OTHERCOHCBS

General Provider Information

NPI Number : 1184083404
Entity Type Code : Organization
Provider Name (Legal Business Name) : JERRY ARAGON CONSTRUCTION
Provider Business Mailing Address
First Line : 2551 W 52ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80221-1645
Country : US
Telephone Number : 303-480-0101
Fax Number : 303-480-0263
Provider Business Practice Location Address
First Line : 2551 W 52ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80221-1645
Country : US
Telephone Number : 303-480-0101
Fax Number : 303-480-0263
Authorized Official
Title or Position : OWNER
Name : MR. JERRY ARAGON
Credential : GEN CONTRACTOR
Telephone Number : 303-480-0101
Provider Enumeration Date : 02/15/2016
Last Update Date : 02/24/2016

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Directions to “JERRY ARAGON CONSTRUCTION ” Practice Location

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