METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1699311951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699311951 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Other Organization Name | STRIDE CHC - INDEPENDENCE AT JEFFERSON CENTER DENTAL CLINIC |
| Practice Address |
4851 Independence St Wheat Ridge CO 80033-6715 |
| Mailing Address |
2255 S Oneida St Denver CO 80224-2522 |
| Practice Telephone | 3033600247 |
| Practice Fax Number | 3033430247 |
| Mailing Telephone | 3033606276 |
| Mailing Fax Number | 3033430247 |
| Enumeration Date | 2019-11-21 |
| 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 - Independence at Jefferson Center Dental Clinic | Doing Business As Name - Organization |
| STRIDE CHC - Independence Health at JCMH Dental Clinic | 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 |
4851 INDEPENDENCE ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573457 | Maribeth Eileen Flanagan | Counselor | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2006-03-28 |
| 1215537055 | Taylor Hilton | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-30 |
| 1326647660 | Carly Jones | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-19 |
| 1760080139 | Sarah Greenbaum | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-16 |
| 1700483526 | Barrette Anne Keeffe | Case Manager/Care Coordinator | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1871190603 | Tammy Schreckengast | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1063019206 | Jessica Allen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1811594930 | David Joel Urbont | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1114534302 | Taylor A Evergreen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-30 |
| 1477169126 | Jennifer Jordan | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| 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 |
|---|---|---|---|---|
| 1184961492 | Metro Community Provider Network, Inc. | Clinic/Center | 7495 West 29th Avenue, Wheat Ridge, CO 80033-8002 | 2013-01-07 |
| 1295356798 | Metro Community Provider Network, Inc. | Clinic/Center | 7495 W 29th Ave, Wheat Ridge, CO 80033-8002 | 2020-05-06 |
| 1083250229 | Metro Community Provider Network, Inc. | Clinic/Center | 7495 W 29th Ave, Wheat Ridge, CO 80033-8002 | 2019-11-22 |
| 1043856305 | Metro Community Provider Network, Inc. | Clinic/Center | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2019-11-21 |
| 1316233174 | Metro Community Provider Network, Inc. | Clinic/Center | 4851 Independence Street, Wheat Ridge, CO 80033-6715 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118073 | Sunrise Community Health | Clinic/Center | 2880 Monroe Ave, Loveland, CO 80538-3274 | 2020-09-15 |
| 1538772892 | Valley-wide Health Systems, Inc. | Clinic/Center | 204 Carson Ave, Alamosa, CO 81101-2342 | 2020-08-26 |
| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.