Community Alcohol/Drug Rehabilitation Center in Denver - Physiological Laboratory

Community Alcohol/Drug Rehabilitation Center - NPI 1730183161

Community Alcohol/Drug Rehabilitation Center is a Physiological Laboratory in Denver, Colorado. Community Alcohol/Drug Rehabilitation Center practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Community Alcohol/Drug Rehabilitation Center is 1730183161. The last update date is 2008-09-16.

Community Alcohol/Drug Rehabilitation Center's current location address is 3315 Gilpin St, Denver, Colorado. You can contact this provider via phone number 3032952521 and fax number 3032952326. The mailing address for Community Alcohol/Drug Rehabilitation Center is 3315 Gilpin St, Denver, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Alcohol/Drug Rehabilitation Center
Address 3315 Gilpin St, Denver, Colorado
Phone Number 3032952521
Fax Number 3032952326
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Okonji Ama Jacques
Credentials PH.D.
Telephone Number 3032952521

NPI Number Detail

NPI Number 1730183161
Provider Enumeration Date 2005-06-13
Last Updated Date 2008-09-16

Provider Mailing Address Detail

Address 3315 Gilpin St
City Denver
State Colorado (CO)
Post Code 8020540150
Phone Number 3032952521
Fax Number 3032952326

Provider's Primary Taxonomy Detail

Speciality Physiological Laboratory
Taxonomy 293D00000X
Licence No 1142-00
Definition:
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1143 CO LICENSED OUT-PATIENT

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FAQs about Community Alcohol/Drug Rehabilitation Center

What is the Community Alcohol/Drug Rehabilitation Center's unique identification number?

The Community Alcohol/Drug Rehabilitation Center has been assigned the NPI (National Provider Identifier) Number 1730183161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Community Alcohol/Drug Rehabilitation Center?

The Community Alcohol/Drug Rehabilitation Center is physically situated at 3315 Gilpin St, in the city of Denver, state of CO, with the postal code 8020540150.

What is the area of specialization for Community Alcohol/Drug Rehabilitation Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Community Alcohol/Drug Rehabilitation Center is Physiological Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 293D00000X.

On what date did the Community Alcohol/Drug Rehabilitation Center receive its 1730183161 assignment from the Centers for Medicare & Medicaid Services?

The Community Alcohol/Drug Rehabilitation Center was assigned its 1730183161 by the Centers for Medicare & Medicaid Services on 2005-06-13.

As of what date was the information regarding Community Alcohol/Drug Rehabilitation Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Community Alcohol/Drug Rehabilitation Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-16.

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