Provider Demographics
NPI:1457544595
Name:BEST CARE FOR WOUNDS OF DENVER INC
Entity Type:Organization
Organization Name:BEST CARE FOR WOUNDS OF DENVER INC
Other - Org Name:WOUND CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-351-6993
Mailing Address - Street 1:888 W ITHACA AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-3468
Mailing Address - Country:US
Mailing Address - Phone:720-351-6993
Mailing Address - Fax:
Practice Address - Street 1:888 W ITHACA AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-3468
Practice Address - Country:US
Practice Address - Phone:720-351-6993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC453558Medicare PIN