MEDICARE: MONARCH COMPETENCY

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	261QH0100X	Health Service Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1912851122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH COMPETENCY

Provider Business Mailing Address
First Line	:	12310 W 38TH AVE
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-3839
Country	:	US
Telephone Number	:	928-231-4731
Fax Number	:

Provider Business Practice Location Address
First Line	:	5335 NEWTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-7329
Country	:	US
Telephone Number	:	877-835-1545
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CALI PETERSON
Credential	:
Telephone Number	:	928-231-4731

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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Directions to “MONARCH COMPETENCY ” Practice Location

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