| Organization Name: | HIGHLANDS RANCH HEALTHCARE LLC |
| NPI Number: | 1275787434 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL AMSTEIN (DIRECTOR, BUSINESS OPERATIONS) |
| Mailing Address: | 1050 W 104th Ave # B Northglenn |
| State: | CO US |
| Postal Code: | 802343802 |
| Phone Number: | 3034803627 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2008 |
| NPI Last Update Date: | 05/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |