Healthcare Provider Details

I. General information

NPI: 1396535076
Provider Name (Legal Business Name): MILE HIGH URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 S BROADWAY
ENGLEWOOD CO
80113-6706
US

IV. Provider business mailing address

9985 W REMINGTON PL
LITTLETON CO
80128-9283
US

V. Phone/Fax

Practice location:
  • Phone: 720-457-9100
  • Fax: 720-457-9333
Mailing address:
  • Phone: 720-818-8010
  • Fax: 720-818-8044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAFADZWA OBERT MUCHINERIPI
Title or Position: OWNER
Credential:
Phone: 720-818-8010