METRO COMMUNITY PROVIDER NETWORK INC (NPI# 1609031665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609031665 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK INC |
| Other Organization Name | PLATTE CANYON CLINIC |
| Practice Address |
460 County Road 43 Suite 2 Bailey CO 80421-2503 |
| Mailing Address |
3701 S Broadway Englewood CO 80113-3611 |
| Practice Telephone | 3038381166 |
| Practice Fax Number | 3038381124 |
| Mailing Telephone | 3037611977 |
| Mailing Fax Number | 3037612787 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | DAVID MYERS (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) |
18J548 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 11033894 | 05 |
| Other Name | Type Code |
|---|---|
| Platte Canyon Clinic | Other Name - Individual/Organization |
| Street Address |
460 COUNTY ROAD 43 SUITE 2 |
| City | BAILEY |
| State | CO |
| Zip Code | 80421-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063749166 | Carleen F Babani | Social Worker | 460 County Road 43, Ste 7, Bailey, CO 80421-2503 | 2009-11-10 |
| 1407189467 | Mary Baydarian | Social Worker | 460 County Road 43, Suite 7, Bailey, CO 80421-2503 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709284 | American Medical Home Health Services - Denver LLC | Home Health | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-13 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1245779537 | Exploring Inner Peace LLC | Social Worker | 60615 Us Hwy 285, Suite 206, Bailey, CO 80421 | 2017-02-20 |
| 1801343389 | Ryan Plourde | Social Worker | 460 County 43a, Suite 7, Bailey, CO 80421 | 2016-09-01 |
| 1912233156 | Charity A Morris | Counselor | 60615 South Hwy 285, Bailey, CO 80421 | 2009-10-22 |
| 1669639571 | Platte Canyon Rescue Service Inc | Ambulance | 153 Delwood Dr, Unit 2, Bailey, CO 80421 | 2008-05-19 |
| 1902094527 | Richard E Nichols | Dentist | 460 Park County Road 43, Crow Hill Family Dental, Bailey, CO 80421 | 2007-10-09 |
| 1144343567 | Dustin Ted Powell | Counselor | 60615 U.S. Highway 285, Bailey, CO 80421 | 2007-04-09 |
| 1013063411 | Park County School District 1 | Local Education Agency (LEA) | 57393 Us Highway 285, Bailey, CO 80421 | 2007-01-26 |
| 1326698622 | American Medical Hospice Care - Denver LLC | Hospice Care, Community Based | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-18 |
| Find all providers in zip 80421 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.