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NPI Code Detail

MEDICARE: LA COCINA

MEDICARE: LA COCINA
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1093698789
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA COCINA
Provider Business Mailing Address
First Line : 409 MASON CT UNIT 123
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4465
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 W NEVADA PL
Second Line :
City : DENVER
State : CO
Zip : 80219-2740
Country : US
Telephone Number : 970-232-0740
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : SARAH MCNAMEE
Credential :
Telephone Number : 970-232-0740
Provider Enumeration Date : 07/29/2025
Last Update Date : 07/29/2025

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Directions to “LA COCINA ” Practice Location

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