Organization
INNER CITY HEALTH CENTER
Active
Parent organization
INNER CITY HEALTH CENTER
Other names
Wheat Ridge At Inner City Health Center, Inner City Health Center At Wheatridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNER CITY HEALTH CENTER
Authorized official
ANDREA CORTEZ (COO)
(720) 833-5099
Entity
Organization
Contact information
Practice address
6301 W 38TH AVE, WHEAT RIDGE, CO 80033-5057
(303) 940-9118
Mailing address
3800 N YORK ST, DENVER, CO 80205-3540
(303) 296-1767
(303) 296-3484
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4017372
—
CO
Enumeration date
09/24/2018
Last updated
01/22/2024
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