METRO COMMUNITY PROVIDER NETWORK, INC.


Address: 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506
Phone: 3033606276

METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1033755392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033755392
Entity Type Organization
Organization Name METRO COMMUNITY PROVIDER NETWORK, INC.
Other Organization Name STRIDE CHC - UNION SQUARE HEALTH PLAZA DENTAL CLINIC
Practice Address 12055 W 2nd Pl # 200
Lakewood
CO 80228-1506
Mailing Address 2255 S Oneida St
Denver
CO 80224-2522
Practice Telephone 3033606276
Practice Fax Number 3033430247
Mailing Telephone 3033606276
Mailing Fax Number 3033430247
Enumeration Date 2019-11-21
Last Update Date 2020-03-10
Authorized Official Name YOLANDA TREVINO (PATIENT ACCOUNTS MANGER)
Authorized Official Telephone 3037612153
Is Organization Subpart Y
Parent Organization Name METRO COMMUNITY PROVIDER NETWORK, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
STRIDE CHC - Union Clinic at JCMH Dental Clinic Doing Business As Name - Organization
STRIDE CHC - Union Square Health Plaza Dental Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861014805 Metro Community Provider Network, Inc. Clinic/Center 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 2020-05-13
1952853772 Metro Community Provider Network, Inc. Clinic/Center 6303 Wadsworth Bypas, Arvada, CO 80003 2016-10-27
1679931646 Metro Community Provider Network, Inc. Clinic/Center 3595 South Teller Street, Lakewood, CO 80235-2014 2016-02-05
1558727883 Metro Community Provider Network, Inc. Clinic/Center 10680 Del Mar Parkway, Aurora, CO 80010-4011 2015-12-31
1649605536 Metro Community Provider Network, Inc. Clinic/Center 1537 Alton Street, Aurora, CO 80010-1712 2013-09-10
1811333842 Metro Community Provider Network, Inc. Clinic/Center 1666 Elmira Street, Aurora, CO 80110-2122 2013-05-16
1184961492 Metro Community Provider Network, Inc. Clinic/Center 7495 West 29th Avenue, Wheat Ridge, CO 80033-8002 2013-01-07
1568707776 Metro Community Provider Network, Inc. Clinic/Center 15501 East 13th Avenue, Aurora, CO 80011-7203 2012-11-29
1114213972 Metro Community Provider Network, Inc. Clinic/Center 12055 West 2nd Place, Lakewood, CO 80228-1506 2011-06-21
1558657312 Metro Community Provider Network, Inc. Clinic/Center 791 Chambers Rd Ste 220, Aurora, CO 80011-7112 2011-06-21

Office Location

Street Address 12055 W 2ND PL # 200
City LAKEWOOD
State CO
Zip Code 80228-1506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174083570 Lindsey Mae Beverly Physician Assistant Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 2019-03-21
1881119931 Cory J Frazier Nurse Practitioner 11600 W. 2nd Pl, Lakewood, CO 80228 2017-08-10
1508213885 Chelsea Tucker Counselor 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 2016-05-17
1972963841 Shastin Gerbracht Counselor 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 2016-03-04
1073983375 Suzanne Phillips Behavioral Analyst 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 2015-09-29
1700265667 April Mearsha Doula 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 2015-05-26
1306233713 Caleb Hedberg Internal Medicine 165 S Union Blvd Ste 800, Lakewood, CO 80228 2015-04-23
1972996288 David Lindsey Currie Counselor 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 2015-03-11
1619365533 Michelle Broberg II Technician 12055 West 2nd Plaza, Lakewood, CO 80228 2014-12-30
1750789012 Kayla Morrison Social Worker 12005 W 2nd Place, Lakewood, CO 80228 2014-12-18
Find all providers in zip 80228

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861014805 Metro Community Provider Network, Inc. Clinic/Center 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 2020-05-13
1518437474 Lakewood Resource and Referral Center, Inc. Clinic/Center 485 Locust St, Lakewood, NJ 08701-5896 2018-12-04
1679931646 Metro Community Provider Network, Inc. Clinic/Center 3595 South Teller Street, Lakewood, CO 80235-2014 2016-02-05
1114213972 Metro Community Provider Network, Inc. Clinic/Center 12055 West 2nd Place, Lakewood, CO 80228-1506 2011-06-21
1558526418 Metro Community Provider Network, Inc. Clinic/Center 8755 West 14th Avenue, Lakewood, CO 80215-4863 2008-07-21
1437314481 Metro Community Provider Network, Inc. Clinic/Center 1255 South Wadsworth Blvd., Lakewood, CO 80232-5406 2008-07-18
1992965420 Metro Community Provider Network, Inc. Clinic/Center 8500 West Colfax Avenue, Lakewood, CO 80215-4011 2008-06-09
1699778233 The Lakes Community Health Center, Inc Clinic/Center 15397 State Highway 32, Lakewood, WI 54138-9702 2005-05-27
1710980917 Ocean Health Initiatives Clinic/Center 101 2nd St, Lakewood, NJ 08701-3324 2005-05-23
1447873773 Metro Community Provider Network, Inc. Clinic/Center 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 2020-05-21
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 80228

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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