Provider Demographics
NPI:1275618738
Name:SMARTCARE FAMILY MEDICAL CENTERS
Entity Type:Organization
Organization Name:SMARTCARE FAMILY MEDICAL CENTERS
Other - Org Name:SMART CARE OPERATIONS GROUP, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-770-0507
Mailing Address - Street 1:5299 DTC BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3321
Mailing Address - Country:US
Mailing Address - Phone:303-770-0507
Mailing Address - Fax:303-770-0501
Practice Address - Street 1:5299 DTC BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3321
Practice Address - Country:US
Practice Address - Phone:303-770-0507
Practice Address - Fax:303-770-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherTAX ID