Organization
INNER CITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA VILLAGRANA (OPERATIONS MANAGER)
(720) 833-5068
Entity
Organization
Contact information
Practice address
3800 YORK ST, DENVER, CO 80205-3972
(303) 296-4873
(303) 382-2808
Mailing address
3800 YORK ST, DENVER, CO 80205-3972
(303) 296-4873
(303) 382-2808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
CO
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004552
—
CO
05
—
9000172845
—
CO
05
—
9000178587
—
CO
Enumeration date
06/25/2008
Last updated
11/01/2023
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