METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1477679959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477679959 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Other Organization Name | STRIDE COMMUNITY HEALTH CENTER |
| Practice Address |
2255 S Oneida St Denver CO 80224-2522 |
| Practice Telephone | 3037611977 |
| Practice Fax Number | 3037612787 |
| Mailing Telephone | 3037611977 |
| Mailing Fax Number | 3037612787 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | BEN R. WIEDERHOLT (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3037611977 |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01552511 | 05 | |
| CO | 17250048 | 05 | |
| CO | 31601049 | 05 | |
| CO | 8105065 | 05 | |
| CO | 32305036 | 05 | |
| CO | 52379833 | 05 | |
| CO | 05638291 | 05 | |
| CO | 86401360 | 05 | |
| CO | 05638754 | 05 | |
| CO | 21477558 | 05 | |
| CO | 95634231 | 05 | |
| CO | 49105060 | 05 | |
| CO | 60135131 | 05 | |
| CO | 60380578 | 05 | |
| CO | 69585547 | 05 | |
| CO | 00724262 | 05 | |
| CO | 58038230 | 05 | |
| CO | 84656581 | 05 | |
| CO | 86602373 | 05 |
| Other Name | Type Code |
|---|---|
| STRIDE Community Health Center | 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 |
2255 S ONEIDA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80224-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522972 | Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | 7000 E Hampden Ave, Denver, CO 80224 | 2020-03-10 |
| 1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
| 1700391323 | Enhanced Motion | Physical Therapist | 6795 E Tennessee Ave Ste100, Denver, CO 80224 | 2017-12-05 |
| 1528580172 | Abigail Ann Malman Case | Lactation Consultant, Non-RN | 6860 E Panorama Ln, Denver, CO 80224 | 2017-07-14 |
| 1891223251 | Ian Joseph Palombo | Counselor | 2121 S Oneida St Ste 600, Denver, CO 80224 | 2017-05-30 |
| 1346774346 | Lois Leder | Social Worker | 2121 S. Oneida St. #412, Denver, CO 80224 | 2017-04-17 |
| 1356894729 | Kimberly Margolis Inc | Social Worker | 6740 E, Hampden, Suite #307, Denver, CO 80224 | 2016-08-02 |
| 1992168447 | Akiva M Thomas | General Practice | 970 South Oneida Street, Suite 6, Denver, CO 80224 | 2016-04-01 |
| 1730545021 | Rachelle Waxman | Behavioral Analyst | 6762 E Cedar Ave, Unit B, Denver, CO 80224 | 2016-01-03 |
| 1568897189 | Yvonne Henderson | Counselor | 2064 S Monaco Pkwy, Denver, CO 80224 | 2013-09-13 |
| Find all providers in zip 80224 | ||||
| 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 |
|---|---|---|---|---|
| 1811404056 | Denver Health & Hospital Authority | Clinic/Center | 4650 Columbine St, Denver, CO 80216-2833 | 2018-01-09 |
| 1467830778 | Denver Health & Hospital Authority | Clinic/Center | 55 S Zuni St, Denver, CO 80223 | 2015-05-07 |
| 1114341963 | Denver Health & Hospital Authority | Clinic/Center | 3950 S Holly St, Denver, CO 80237-1117 | 2014-02-14 |
| 1023432861 | Denver Health Child Advocacy Clinic Dcac | Clinic/Center | 2125 Federal Blvd, Denver, CO 80211-4669 | 2014-02-14 |
| 1477819506 | Colorado Coalition for The Homeless | Clinic/Center | 5050 W Colfax Ave, Denver, CO 80204-1015 | 2012-04-03 |
| 1528337755 | Denver Health and Hospital Authority | Clinic/Center | 4800 Telluride St, Denver, CO 80249-6803 | 2011-12-16 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1366760498 | Denver Health and Hospital Authority | Clinic/Center | 1700 E 28th Ave, Denver, CO 80205-4502 | 2010-05-13 |
| 1144469578 | Colorado Coalition for The Homeless | Clinic/Center | 1001 Park Ave W, Denver, CO 80205-2605 | 2009-02-09 |
| 1386714095 | Denver Health & Hospital Authority | Clinic/Center | 2250 S Quitman Way, Denver, CO 80219-5139 | 2006-11-09 |
| Find all providers in DENVER | ||||
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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.