| Organization Name: | ALAMEDA PRIMARY CARE CLINIC |
| NPI Number: | 1629449087 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE SACKEY (OWNER) |
| Mailing Address: | 2370 W Alameda Ave Unit 5 Denver |
| State: | CO US |
| Postal Code: | 802231991 |
| Phone Number: | 3039365337 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2015 |
| NPI Last Update Date: | 10/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |