MEDICARE: DENVER NORTH CARE CENTER

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	282E00000X	Long Term Care Hospital	192706	CO

General Provider Information

NPI Number	:	1639498173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER NORTH CARE CENTER

Provider Business Mailing Address
First Line	:	4610 PERRY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2552
Country	:	US
Telephone Number	:	720-495-4952
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5234
Country	:	US
Telephone Number	:	303-861-4825
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MS. SARAH PETERSON
Credential	:
Telephone Number	:	303-861-4825

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	05/24/2010

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Directions to “DENVER NORTH CARE CENTER ” Practice Location

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