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Contact Information

PEDIATRIC AND ADOLESCENT CENTER
3400 S ONEIDA WAY
SUITE 101
DENVER, CO80224-2850
 Phone: 303-758-0005
 Fax: 303-756-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC AND ADOLESCENT CENTER

NPI # 1235353087
LBN Legal business name PEDIATRIC AND ADOLESCENT CENTER
Authorized official PHILIP LEWIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 06/25/2008 - About 18 years ago
Identifiers
CO License # 12100
CO Medicaid 99173824
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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