METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1205098340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205098340 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Other Organization Name | STRIDE CHC - PEORIA |
| Practice Address |
3292 Peoria Street Aurora CO 80010-1517 |
| Mailing Address |
2255 S Oneida St Denver CO 80224-2522 |
| Practice Telephone | 3033436130 |
| Practice Fax Number | 3033440664 |
| Mailing Telephone | 3037611977 |
| Mailing Fax Number | 3037612787 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. BEN R. WIEDERHOLT (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3037611977 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05638754 | 05 |
| Other Name | Type Code |
|---|---|
| North Aurora Family Health Services Center | Other Name - Individual/Organization |
| STRIDE CHC - Peoria | Doing Business As Name - Organization |
| STRIDE CHC-North Aurora Family Health Services | Doing Business As Name - Organization |
| 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 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| 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 |
| Street Address |
3292 PEORIA STREET |
| City | AURORA |
| State | CO |
| Zip Code | 80010-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255591780 | Metro Community Provider Network, Inc. | Pharmacy | 3292 Peoria Street, Aurora, CO 80110-1517 | 2008-06-09 |
| 1518296417 | Metro Community Provider Network, Inc. | Clinic/Center | 3292 Peoria Street, Aurora, CO 80010-1517 | 2009-12-24 |
| 1902062490 | Monica Lynn Dell'armi | Physician Assistant | 3292 Peoria Street, Aurora, CO 80010-1517 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| Find all providers in zip 80010 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 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 |
| 1891136149 | Vna Health Care | Clinic/Center | 1400 Indian Avenue, Aurora, IL 60505-3136 | 2013-07-16 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1811333842 | Metro Community Provider Network, Inc. | Clinic/Center | 1666 Elmira Street, Aurora, CO 80110-2122 | 2013-05-16 |
| 1568707776 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 East 13th Avenue, Aurora, CO 80011-7203 | 2012-11-29 |
| 1558657312 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd Ste 220, Aurora, CO 80011-7112 | 2011-06-21 |
| 1649430174 | Metro Community Provider Network, Inc. | Clinic/Center | 700 Potomac St Ste A, Aurora, CO 80011-6845 | 2008-06-09 |
| 1912021007 | Vna Health Care | Clinic/Center | 56 Jackson St, Aurora, IL 60505-4300 | 2007-03-16 |
| Find all providers in AURORA | ||||
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| 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.