Organization
TARA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS HANSEN (CEO)
(970) 560-3659
Entity
Organization
Contact information
Practice address
1441 WAZEE ST APT 301, DENVER, CO 80202-5952
(800) 935-2305
(747) 999-8827
Mailing address
1441 WAZEE STREET, 301, DENVER, CO 80202-1625
(747) 999-8827
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
246YC3302X
Physician Office Based Coding Specialist
—
—
246Z00000X
Other Specialist/Technologist
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
02/03/2020
Last updated
11/19/2024
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