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

General Provider Information

NPI Number	:	1205579844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE SOLUTIONS GLENDALE, PC

Provider Business Mailing Address
First Line	:	3800 IRVING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-1935
Country	:	US
Telephone Number	:	303-757-1500
Fax Number	:	303-953-1449

Provider Business Practice Location Address
First Line	:	2290 S COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4914
Country	:	US
Telephone Number	:	303-756-4500
Fax Number	:	720-398-9767

Authorized Official
Title or Position	:	CFO
Name	:	ASHLEY THERAN
Credential	:
Telephone Number	:	303-757-1500

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	04/21/2022

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