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NPI Code Detail

MEDICARE: SMARTCARE OPERATIONS GROUP

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
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1790865731
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 : 1325 DENVER AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80537-5120
Country : US
Telephone Number : 970-663-6511
Fax Number : 970-663-6513
Authorized Official
Title or Position : CEO
Name : LARRY HAY
Credential :
Telephone Number : 303-770-0507
Provider Enumeration Date : 10/16/2006
Last Update Date : 08/22/2020

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Directions to “SMARTCARE OPERATIONS GROUP ” Practice Location

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