MEDICARE: SMARTCARE OPERATIONS GROUP

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1588761860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMARTCARE OPERATIONS GROUP

Provider Business Mailing Address
First Line	:	5299 DTC BLVD
Second Line	:	SUITE 800
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-3321
Country	:	US
Telephone Number	:	303-770-0507
Fax Number	:	303-770-0501

Provider Business Practice Location Address
First Line	:	1858 REMOUNT RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3270
Country	:	US
Telephone Number	:	843-266-6962
Fax Number	:	843-266-6965

Authorized Official
Title or Position	:	INSURANCE CONTRACTING
Name	:	JASON FIXSEL
Credential	:
Telephone Number	:	303-457-5749

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “SMARTCARE OPERATIONS GROUP ” Practice Location

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