MEDICARE: URGENT CARE SOLUTIONS, GLENDALE, PC

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	261QU0200X	Urgent Care Clinic/Center		CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	272802	OTHER	CO	PTAN

General Provider Information

NPI Number	:	1184099418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE SOLUTIONS, GLENDALE, PC

Provider Business Mailing Address
First Line	:	760 S COLORADO BLVD
Second Line	:	UNIT A
City	:	DENVER
State	:	CO
Zip	:	80246-1954
Country	:	US
Telephone Number	:	303-692-8000
Fax Number	:	303-300-6685

Provider Business Practice Location Address
First Line	:	1295 COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3615
Country	:	US
Telephone Number	:	303-639-1000
Fax Number	:	303-300-6685

Authorized Official
Title or Position	:	HR MANAGER
Name	:	DONNA FOX
Credential	:
Telephone Number	:	303-692-8000

Provider Enumeration Date	:	12/11/2015
Last Update Date	:	07/21/2022

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