Healthcare Provider Details

I. General information

NPI: 1306413182
Provider Name (Legal Business Name): CAREPOINT EMERGENCY MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE CO
80111-2208
US

IV. Provider business mailing address

5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE CO
80111-2208
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-5644
  • Fax:
Mailing address:
  • Phone: 303-953-5644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: VP/LEGAL COUNSEL
Credential:
Phone: 303-436-2720