Alder Grove Wellness Group, Llc
LBN: Alder Grove Wellness Group, Llc
Alder Grove Wellness Group, Llc is an health care organization with primary practice located at 90 Madison St Suite 400, Denver CO 80206-5418. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Alder Grove Wellness Group, Llc can be contacted via phone (720) 331-6899, or through Vause, Holly via phone (720) 331-6899.
Contact Information
Primary practice address
90 Madison St Suite 400
Denver CO 80206-5418
Phone: (720) 331-6899
Fax: (720) 889-9496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00001020 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 164461 | Colorado |
Profile Details
| NPI number | 1497171771 |
|---|---|
| LBN Legal business name | Alder Grove Wellness Group, Llc |
| DBA Doing business as | |
| Authorized official | Vause, Holly DNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2014 |
| Last updated | Mar 11th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497171771 | NPPES |
| Colorado | MEDICAID | 58008314 |
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