METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1215574819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215574819 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Other Organization Name | STRIDE CHC - ALAMEDA HIGH SCHOOL BEHAVIORAL HEALTH |
| Practice Address |
1255 S Wadsworth Blvd Lakewood CO 80232-5406 |
| Mailing Address |
2255 S Oneida St Denver CO 80224-2522 |
| Practice Telephone | 3033606276 |
| Practice Fax Number | 3033430247 |
| Mailing Telephone | 3033606276 |
| Mailing Fax Number | 3037612787 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | YOLANDA TREVINO (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Telephone | 3037612153 |
| 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 |
| Other Name | Type Code |
|---|---|
| STRIDE CHC - Alameda High School Behavioral Health | Doing Business As Name - Organization |
| STRIDE CHC - Alameda High School Kids and Teen Center Behavioral Healt | 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 |
1255 S WADSWORTH BLVD |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80232-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144369323 | Laura Elizabeth Swanson | Registered Nurse | 1255 S Wadsworth Blvd, Lakewood, CO 80232-5406 | 2007-02-05 |
| 1851938450 | Metro Community Provider Network, Inc. | Clinic/Center | 1255 S Wadsworth Blvd, Lakewood, CO 80232-5406 | 2019-12-03 |
| 1831531714 | Yvonne Nicole Delzenero | Psychologist | 1255 S Wadsworth Blvd, Lakewood, CO 80232-5406 | 2013-07-22 |
| 1396933362 | Catherine Ann Kendrick | Counselor | 1255 S Wadsworth Blvd, Lakewood, CO 80232-5406 | 2007-10-04 |
| 1548454820 | Bryn Montalvo | Physician Assistant | 1255 S Wadsworth Blvd, Lakewood, CO 80232-5406 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
| 1144711870 | Vanessa Rangel | Behavior Technician | 8237 W Mexico Ave Lakewood Co, Lakewood, CO 80232 | 2018-05-29 |
| 1265947683 | Kampwerth Chiropractic, LLC | Chiropractor | 6565 W. Jewell Ave, # 12a, Lakewood, CO 80232 | 2017-12-07 |
| 1912416660 | Michelle Lee Dixon | Occupational Therapist | 1622 S Owens St. Apt #288, Lakewood, CO 80232 | 2017-09-26 |
| 1144756537 | Virginia Night | Occupational Therapist | 1259 S Quail St, Lakewood, CO 80232 | 2017-05-04 |
| 1588195093 | Rocky Mountain Employment Services | Community/Behavioral Health | 6054 W Utah Ln, Lakewood, CO 80232 | 2017-03-26 |
| 1932584299 | Brian Cohn Bcba LLC | Behavioral Analyst | 1626 S Kline Ct, Lakewood, CO 80232 | 2015-07-28 |
| 1588044754 | Ignacia Genco | Acupuncturist | 6655 W. Jewell Ave Unit 201, Lakewood, CO 80232 | 2015-06-03 |
| 1992079172 | Michael Anthony Rooney | Counselor | 6655 West Jewell Ave, Suite #102, Lakewood, CO 80232 | 2012-03-06 |
| 1407165491 | Kelly Ann Garcia-brauch | Counselor | 1880 S Pierce St Ste 11, Lakewood, CO 80232 | 2010-09-24 |
| Find all providers in zip 80232 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
| 1679931646 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 South Teller Street, Lakewood, CO 80235-2014 | 2016-02-05 |
| 1114213972 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 West 2nd Place, Lakewood, CO 80228-1506 | 2011-06-21 |
| 1558526418 | Metro Community Provider Network, Inc. | Clinic/Center | 8755 West 14th Avenue, Lakewood, CO 80215-4863 | 2008-07-21 |
| 1437314481 | Metro Community Provider Network, Inc. | Clinic/Center | 1255 South Wadsworth Blvd., Lakewood, CO 80232-5406 | 2008-07-18 |
| 1992965420 | Metro Community Provider Network, Inc. | Clinic/Center | 8500 West Colfax Avenue, Lakewood, CO 80215-4011 | 2008-06-09 |
| 1699778233 | The Lakes Community Health Center, Inc | Clinic/Center | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2005-05-27 |
| 1710980917 | Ocean Health Initiatives | Clinic/Center | 101 2nd St, Lakewood, NJ 08701-3324 | 2005-05-23 |
| Find all providers in LAKEWOOD | ||||
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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.