Organization
METRO COMMUNITY PROVIDER NETWORK INC
Active
Parent organization
METRO COMMUNITY PROVIDER NETWORK INC
Other names
Platte Canyon Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO COMMUNITY PROVIDER NETWORK INC
Authorized official
DAVID MYERS (CEO)
(303) 761-1977
Entity
Organization
Contact information
Practice address
460 COUNTY ROAD 43, SUITE 2, BAILEY, CO 80421-2503
(303) 838-1166
(303) 838-1124
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 761-1977
(303) 761-2787
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
18J548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11033894
—
CO
Enumeration date
07/18/2008
Last updated
12/10/2008
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