| Organization Name: | METRO COMMUNITY PROVIDER NETWORK INC |
| NPI Number: | 1609031665 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MYERS (CEO) |
| Mailing Address: | 460 County Road 43 Suite 2 Bailey |
| State: | CO US |
| Postal Code: | 804212503 |
| Phone Number: | 3038381166 |
| Fax Number: | 3038381124 |
| NPI Enumeration Date: | 07/18/2008 |
| NPI Last Update Date: | 12/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 18J548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |