Organization
METRO COMMUNITY PROVIDER NETWORK, INC.
Active
Organization
METRO COMMUNITY PROVIDER NETWORK, INC.
Active
Parent organization
METRO COMMUNITY PROVIDER NETWORK, INC.
Other names
STRIDE CHC - Wheat Ridge Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO COMMUNITY PROVIDER NETWORK, INC.
Authorized official
BEN WIEDERHOLT (PRESIDENT & CEO)
(303) 761-1977
Entity
Organization
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 360-6276
Mailing address
2255 S ONEIDA ST, DENVER, CO 80224-2522
(303) 360-6276
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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