METRO COMMUNITY PROVIDER NETWORK, INC.


Address: 1255 South Wadsworth Blvd., Lakewood, CO 80232-5406
Phone: 3039854832

METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1437314481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437314481
Entity Type Organization
Organization Name METRO COMMUNITY PROVIDER NETWORK, INC.
Other Organization Name STRIDE CHC - ALAMEDA HIGH SCHOOL
Practice Address 1255 South Wadsworth Blvd.
Lakewood
CO 80232-5406
Mailing Address 2255 S Oneida St
Denver
CO 80224-2522
Practice Telephone 3039854832
Practice Fax Number 3039854851
Mailing Telephone 3037611977
Mailing Fax Number 3037612787
Enumeration Date 2008-07-18
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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 17250048 05

Other Provider/Organization Names

Other Name Type Code
Alameda High School Kids and Teens Health Center Other Name - Individual/Organization
STRIDE CHC - Alameda High School Doing Business As Name - Organization
STRIDE CHC-Alameda High School Kids & Teens Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1255 SOUTH WADSWORTH BLVD.
City LAKEWOOD
State CO
Zip Code 80232-5406

Providers in the same zip code

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 Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1447873773 Metro Community Provider Network, Inc. Clinic/Center 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 2020-05-21
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 80232

Improve Information

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Dataset Information

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.

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