Provider Demographics
NPI:1659949212
Name:WEST METRO URGENT CARE LLC
Entity Type:Organization
Organization Name:WEST METRO URGENT CARE LLC
Other - Org Name:THREE PEAKS URGENT CARE LAKEWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-963-5191
Mailing Address - Street 1:98 WADSWORTH BLVD UNIT 119
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:98 WADSWORTH BLVD UNIT 119
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1552
Practice Address - Country:US
Practice Address - Phone:320-237-3138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care