METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1144489675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144489675 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Other Organization Name | STRIDE CHC - CHAMBERS & HAMPDEN |
| Practice Address |
15132 E Hampden Ave Ste G Aurora CO 80014-5038 |
| Mailing Address |
2255 S Oneida St Denver CO 80224-2522 |
| Practice Telephone | 3037626546 |
| Practice Fax Number | 3037626550 |
| Mailing Telephone | 3037611977 |
| Mailing Fax Number | 3037612787 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. BEN R. WIEDERHOLT (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3037611977 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05638291 | 05 |
| Other Name | Type Code |
|---|---|
| South Aurora Family Health Services | Other Name - Individual/Organization |
| South Aurora Family Health Services Center | Other Name - Individual/Organization |
| STRIDE CHC - Chambers & Hampden | Doing Business As Name - Organization |
| STRIDE CHC-South Aurora Family Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| 1952853772 | Metro Community Provider Network, Inc. | Clinic/Center | 6303 Wadsworth Bypas, Arvada, CO 80003 | 2016-10-27 |
| 1679931646 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 South Teller Street, Lakewood, CO 80235-2014 | 2016-02-05 |
| 1558727883 | Metro Community Provider Network, Inc. | Clinic/Center | 10680 Del Mar Parkway, Aurora, CO 80010-4011 | 2015-12-31 |
| 1649605536 | Metro Community Provider Network, Inc. | Clinic/Center | 1537 Alton Street, Aurora, CO 80010-1712 | 2013-09-10 |
| 1811333842 | Metro Community Provider Network, Inc. | Clinic/Center | 1666 Elmira Street, Aurora, CO 80110-2122 | 2013-05-16 |
| 1184961492 | Metro Community Provider Network, Inc. | Clinic/Center | 7495 West 29th Avenue, Wheat Ridge, CO 80033-8002 | 2013-01-07 |
| 1568707776 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 East 13th Avenue, Aurora, CO 80011-7203 | 2012-11-29 |
| 1114213972 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 West 2nd Place, Lakewood, CO 80228-1506 | 2011-06-21 |
| Street Address |
15132 E HAMPDEN AVE STE G |
| City | AURORA |
| State | CO |
| Zip Code | 80014-5038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588636120 | Brenda Lee Larson | Nurse Practitioner | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2006-02-07 |
| 1255987350 | Jayme Ann Konde | Social Worker | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2019-08-14 |
| 1194297515 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2018-12-24 |
| 1427535392 | Sylvia Michelle Jones | Registered Nurse | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2018-07-24 |
| 1649795840 | Olivia Maria Perez -amick | Social Worker | 15132 E Hampden Ave Ste G, Aurora, CO 80014 | 2017-08-08 |
| 1013445477 | Kendra Nicole Brandt | Physician Assistant | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2017-05-30 |
| 1942752795 | Heather Allyson Scott | Registered Nurse | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2016-10-27 |
| 1528496049 | Sarah Elaine Lemley | Physician Assistant | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1558727883 | Metro Community Provider Network, Inc. | Clinic/Center | 10680 Del Mar Parkway, Aurora, CO 80010-4011 | 2015-12-31 |
| 1649605536 | Metro Community Provider Network, Inc. | Clinic/Center | 1537 Alton Street, Aurora, CO 80010-1712 | 2013-09-10 |
| 1891136149 | Vna Health Care | Clinic/Center | 1400 Indian Avenue, Aurora, IL 60505-3136 | 2013-07-16 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1811333842 | Metro Community Provider Network, Inc. | Clinic/Center | 1666 Elmira Street, Aurora, CO 80110-2122 | 2013-05-16 |
| 1568707776 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 East 13th Avenue, Aurora, CO 80011-7203 | 2012-11-29 |
| 1558657312 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd Ste 220, Aurora, CO 80011-7112 | 2011-06-21 |
| 1649430174 | Metro Community Provider Network, Inc. | Clinic/Center | 700 Potomac St Ste A, Aurora, CO 80011-6845 | 2008-06-09 |
| 1912021007 | Vna Health Care | Clinic/Center | 56 Jackson St, Aurora, IL 60505-4300 | 2007-03-16 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.