Provider Demographics
NPI:1699179747
Name:FAMILY MEDICINE CLINIC FOR HEALTH EQUITY
Entity Type:Organization
Organization Name:FAMILY MEDICINE CLINIC FOR HEALTH EQUITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALOK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-521-7641
Mailing Address - Street 1:5250 LEETSDALE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1438
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5250 LEETSDALE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1438
Practice Address - Country:US
Practice Address - Phone:303-954-0058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO ALLIANCE FOR HEALTH EQUITY AND PRACTICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-17
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care