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NPI Code Detail

MEDICARE: HIGHLANDS RANCH HEALTHCARE LLC

MEDICARE: HIGHLANDS RANCH HEALTHCARE LLC
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
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811047285
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLANDS RANCH HEALTHCARE LLC
Provider Business Mailing Address
First Line : 423 FORTRESS BLVD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-1351
Country : US
Telephone Number : 304-225-2500
Fax Number : 304-985-6350
Provider Business Practice Location Address
First Line : 9330 S UNIVERSITY BLVD
Second Line : SUITE 100
City : HIGHLANDS RANCH
State : CO
Zip : 80126-5065
Country : US
Telephone Number : 303-346-3627
Fax Number : 303-683-9392
Authorized Official
Title or Position : CONTRACT MANAGER
Name : JOY KIMBALL
Credential :
Telephone Number : 763-349-6740
Provider Enumeration Date : 01/10/2007
Last Update Date : 05/07/2024

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Directions to “HIGHLANDS RANCH HEALTHCARE LLC ” Practice Location

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