Provider Demographics
NPI:1265670715
Name:HIGHLANDS RANCH HEALTHCARE LLC
Entity Type:Organization
Organization Name:HIGHLANDS RANCH HEALTHCARE LLC
Other - Org Name:MEDEXPRESS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-758-2800
Mailing Address - Street 1:720 S COLORADO BLVD STE 450S
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1939
Mailing Address - Country:US
Mailing Address - Phone:303-758-2800
Mailing Address - Fax:
Practice Address - Street 1:10345 S PARK GLENN WAY STE 100
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3884
Practice Address - Country:US
Practice Address - Phone:720-941-3627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO75122740Medicaid
CO75122740Medicaid