Organization
METRO COMMUNITY PROVIDER NETWORK, INC.
Active
Parent organization
METRO COMMUNITY PROVIDER NETWORK, INC.
Other names
STRIDE CHC - Englewood Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO COMMUNITY PROVIDER NETWORK, INC.
Authorized official
YOLANDA TREVINO (PATIENT ACCOUNTS MANAGER)
(303) 761-2153
Entity
Organization
Contact information
Practice address
3515 S DELAWARE ST, ENGLEWOOD, CO 80110-3529
(303) 360-6276
(303) 343-0247
Mailing address
2255 S ONEIDA ST, DENVER, CO 80224-2522
(303) 360-6276
(303) 343-0247
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
03/10/2020
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