Provider Demographics
NPI:1396535076
Name:MILE HIGH URGENT CARE PLLC
Entity type:Organization
Organization Name:MILE HIGH URGENT CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAFADZWA
Authorized Official - Middle Name:OBERT
Authorized Official - Last Name:MUCHINERIPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-818-8010
Mailing Address - Street 1:9985 W REMINGTON PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-9283
Mailing Address - Country:US
Mailing Address - Phone:720-818-8010
Mailing Address - Fax:720-818-8044
Practice Address - Street 1:5102 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-6706
Practice Address - Country:US
Practice Address - Phone:720-457-9100
Practice Address - Fax:720-457-9333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILE HIGH URGENT CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care