Healthcare Provider Details

I. General information

NPI: 1124626676
Provider Name (Legal Business Name): HCS NY IPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 11/27/2023
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5889 GREENWOOD PLAZA BLVD STE 300
GREENWOOD VILLAGE CO
80111-2527
US

IV. Provider business mailing address

5889 GREENWOOD PLAZA BLVD STE 300
GREENWOOD VILLAGE CO
80111-2527
US

V. Phone/Fax

Practice location:
  • Phone: 303-407-6861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: NICOLE BLOCH
Title or Position: PRESIDENT & COO
Credential:
Phone: 720-253-0106