Healthcare Provider Details

I. General information

NPI: 1356752430
Provider Name (Legal Business Name): MEDVENTURES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9205 S BROADWAY
HIGHLANDS RANCH CO
80129-5631
US

IV. Provider business mailing address

1805 SHEA CENTER DR STE 301
HIGHLANDS RANCH CO
80129-2277
US

V. Phone/Fax

Practice location:
  • Phone: 303-330-0271
  • Fax: 303-330-0371
Mailing address:
  • Phone: 303-357-2559
  • Fax:

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: ASHLEY R SLETTEN
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 720-510-8428