Healthcare Provider Details

I. General information

NPI: 1912011073
Provider Name (Legal Business Name): CLINIX HEALTH SERVICES OF COLORADO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7030 S YOSEMITE ST SUITE 210
CENTENNIAL CO
80112-2026
US

IV. Provider business mailing address

7030 S YOSEMITE ST SUITE 210
CENTENNIAL CO
80112-2026
US

V. Phone/Fax

Practice location:
  • Phone: 303-996-3249
  • Fax: 303-721-0972
Mailing address:
  • Phone: 303-721-9984
  • Fax: 303-267-7304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA BRANDES
Title or Position: PRESIDENT
Credential:
Phone: 303-996-3244