MEDICARE: JILL ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1023427762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL ADAMS

Provider Business Mailing Address
First Line	:	2142 S HUMBOLDT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4619
Country	:	US
Telephone Number	:	720-323-7639
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 E CHERRY CREEK SOUTH DR STE 940
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1535
Country	:	US
Telephone Number	:	303-322-7108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

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