Healthcare Provider Details
I. General information
NPI: 1629439500
Provider Name (Legal Business Name): CARE ON LOCATION, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2016
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1615 CALIFORNIA ST STE 601
DENVER CO
80202-3721
US
IV. Provider business mailing address
1615 CALIFORNIA ST STE 601
DENVER CO
80202-3721
US
V. Phone/Fax
- Phone: 720-778-0005
- Fax:
- Phone: 720-778-0005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JONATHON
PATRICK
SAVAGE
Title or Position: PRESIDENT
Credential: D.O.
Phone: 303-777-6004