Healthcare Provider Details
I. General information
NPI: 1548079064
Provider Name (Legal Business Name): HEALTHONE CARENOW URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/31/2024
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17575 GREEN VALLEY RANCH BLVD
DENVER CO
80249-7988
US
IV. Provider business mailing address
2000 HEALTH PARK DR
BRENTWOOD TN
37027-4692
US
V. Phone/Fax
- Phone: 303-583-4490
- Fax:
- Phone: 615-373-7406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
DOUGLAS
MILLER
Title or Position: VICE PRESIDENT
Credential:
Phone: 972-906-8103