INNER CITY HEALTH CENTER (NPI# 1578539979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578539979 |
| Entity Type | Organization |
| Organization Name | INNER CITY HEALTH CENTER |
| Practice Address |
3800 York St Denver CO 80205-3540 |
| Mailing Address |
3800 York St. Denver CO 80205-3972 |
| Practice Telephone | 3032961767 |
| Practice Fax Number | 3032963484 |
| Mailing Telephone | 3032961767 |
| Mailing Fax Number | 3032969313 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | PORSIA R CARTER (BILLING MANAGER) |
| Authorized Official Telephone | 7208335015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000172845 | 05 | |
| CO | MCD DENTAL | 04004552 | 01 |
| CO | NEW HOPE DENTAL SERVIC | 14003031 | 01 |
| CO | 04001699 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013491208 | Inner City Health Center | Clinic/Center | 6301 W 38th Ave, Wheat Ridge, CO 80033-5057 | 2018-09-24 |
| 1003078742 | Inner City Health Center | Dentist | 3405 Downing St, Denver, CO 80205-3972 | 2008-06-25 |
| 1811159551 | Inner City Health Center | Dentist | 3405 Downing St, Denver, CO 80205-3972 | 2008-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INNER CITY HEALTH CENTER | 3800 York St, Denver, CO 80205-3540 |
| Street Address |
3800 YORK ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912979238 | Krista Lavonas | Pediatrics | 3800 York St, Denver, CO 80205-3540 | 2006-02-02 |
| 1932744828 | Candace Marie Lartigue | Nurse Practitioner | 3800 York St, Denver, CO 80205-3540 | 2019-11-14 |
| 1710380472 | Yasmin Mohebi Hamzeh | Dental Hygienist | 3800 York St, Denver, CO 80205 | 2014-10-08 |
| 1952704603 | Karina Olivia Villagrana | Dental Hygienist | 3800 York St, Inner City Health Center, Denver, CO 80205 | 2014-10-08 |
| 1164847869 | Jennifer Elaine Stevens | Family Medicine | 3800 York St, Denver, CO 80205 | 2014-03-04 |
| 1376986216 | Macy Leigh Kim | Nurse Practitioner | 3800 York St, Denver, CO 80205-3540 | 2013-04-10 |
| 1962767384 | Cody Guy Garrison | Dentist | 3800 York St, Denver, CO 80205-3540 | 2012-07-11 |
| 1790092765 | Kristen Goree | Nurse Practitioner | 3800 York St, Denver, CO 80205-3540 | 2010-09-10 |
| 1881790509 | Marilyn Vigil Ketcham | Dentist | 3800 York St, Denver, CO 80205-3540 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| 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 |
|---|---|---|---|---|
| 1811404056 | Denver Health & Hospital Authority | Clinic/Center | 4650 Columbine St, Denver, CO 80216-2833 | 2018-01-09 |
| 1467830778 | Denver Health & Hospital Authority | Clinic/Center | 55 S Zuni St, Denver, CO 80223 | 2015-05-07 |
| 1114341963 | Denver Health & Hospital Authority | Clinic/Center | 3950 S Holly St, Denver, CO 80237-1117 | 2014-02-14 |
| 1023432861 | Denver Health Child Advocacy Clinic Dcac | Clinic/Center | 2125 Federal Blvd, Denver, CO 80211-4669 | 2014-02-14 |
| 1477819506 | Colorado Coalition for The Homeless | Clinic/Center | 5050 W Colfax Ave, Denver, CO 80204-1015 | 2012-04-03 |
| 1528337755 | Denver Health and Hospital Authority | Clinic/Center | 4800 Telluride St, Denver, CO 80249-6803 | 2011-12-16 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1366760498 | Denver Health and Hospital Authority | Clinic/Center | 1700 E 28th Ave, Denver, CO 80205-4502 | 2010-05-13 |
| 1144469578 | Colorado Coalition for The Homeless | Clinic/Center | 1001 Park Ave W, Denver, CO 80205-2605 | 2009-02-09 |
| 1477679959 | Metro Community Provider Network, Inc. | Clinic/Center | 2255 S Oneida St, Denver, CO 80224-2522 | 2007-03-22 |
| Find all providers in DENVER | ||||
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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.