Provider Demographics
NPI:1790865731
Name:SMARTCARE OPERATIONS GROUP
Entity Type:Organization
Organization Name:SMARTCARE OPERATIONS GROUP
Other - Org Name:SMARTCARE FAMILY MEDICAL CENTERS
Other - Org Type:Doing Business As
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 1:1325 DENVER AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5120
Practice Address - Country:US
Practice Address - Phone:970-663-6511
Practice Address - Fax:970-663-6513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherTAX ID