Metro Community Provider Network, Inc.

NPI #1770105710 in Golden, Colorado

Provider Information

NPI Number
1770105710
Entity Type
Organization
Organization Name
Metro Community Provider Network, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
METRO COMMUNITY PROVIDER NETWORK, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 13, 2020
Last Updated
May 13, 2020

Practice Location

Address
701 24TH ST
City
Golden
ZIP Code
80401-2379
Phone
(303) 360-6276

Authorized Official

Name
BEN WIEDERHOLT
Title
PRESIDENT & CEO
Phone
(303) 761-1977

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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