MEDICARE: CAREPOINT EMERGENCY MEDICINE, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1639766678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREPOINT EMERGENCY MEDICINE, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 172328
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-2328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4930 WABASH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3281
Country	:	US
Telephone Number	:	303-577-1500
Fax Number	:

Authorized Official
Title or Position	:	VP/GENERAL COUNSEL
Name	:	DEBORAH SMITH
Credential	:
Telephone Number	:	303-436-2720

Provider Enumeration Date	:	12/23/2020
Last Update Date	:	12/23/2020

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