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NPI Code Detail

MEDICARE: ROCKY MOUNTAIN HEALTH CENTER SOUTH PC

MEDICARE: ROCKY MOUNTAIN HEALTH CENTER SOUTH 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
1261QP2300XPrimary Care Clinic/CenterCO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DA6102OTHERCOMEDICARE RAILROAD

General Provider Information

NPI Number : 1588833826
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY MOUNTAIN HEALTH CENTER SOUTH PC
Provider Business Mailing Address
First Line : 3540 S POPLAR ST
Second Line : SUITE 200
City : DENVER
State : CO
Zip : 80237-1362
Country : US
Telephone Number : 303-226-0013
Fax Number : 303-757-6148
Provider Business Practice Location Address
First Line : 3540 S POPLAR ST
Second Line : SUITE 200
City : DENVER
State : CO
Zip : 80237-1362
Country : US
Telephone Number : 303-226-0013
Fax Number : 303-757-6148
Authorized Official
Title or Position : OFFICE MANAGER
Name : CHRISTINA M BOOZE
Credential :
Telephone Number : 303-226-0013
Provider Enumeration Date : 02/20/2008
Last Update Date : 07/21/2022

Similar Medicare Providers

1245230614 — JULIE ANN COHEN PA-C
Practice Location Address:
3540 S POPLAR ST , SUITE 200
DENVER, CO
80237-1362
Practice Phone: 303-226-0013
Practice Fax: 303-757-6418
1306846688 — MR. THOMAS NEIL CHISHOLM M.D.
Practice Location Address:
3540 S POPLAR ST , SUITE 200
DENVER, CO
80237-1362
Practice Phone: 303-226-0013
Practice Fax: 303-757-6148
1588664841 — DR. DONALD ALAN FOREST M.D.
Practice Location Address:
3540 S POPLAR ST , SUITE 200
DENVER, CO
80237-1362
Practice Phone: 303-226-0013
Practice Fax: 303-757-6148
1538177712 — DR. MARY IRENE ENZMAN HINES PHD, APRN, CPNP
Practice Location Address:
3540 S POPLAR ST STE 202
DENVER, CO
80237-1362
Practice Phone: 720-442-3615
Practice Fax: 720-870-3726
1437345816 — DR. RICHARD L BORREGO PH.D.
Practice Location Address:
3540 S POPLAR ST STE 202
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80237-1362
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1700201589 — JENNIFER GAUGHAN MS, APRN, CPNP-PC
Practice Location Address:
3540 S POPLAR ST STE 202
DENVER, CO
80237-1362
Practice Phone: 720-442-3615
Practice Fax: 720-870-3726

Directions to “ROCKY MOUNTAIN HEALTH CENTER SOUTH PC ” Practice Location

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