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MIRAMINDS MEDICAL AID NPI 1770190480


NPI Information

NPI: 1770190480
Provider Name: MIRAMINDS MEDICAL AID
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9615 E COUNTY LINE RD
CENTENNIAL, CO
ZIP 80112
Phone: (310) 770-2057
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MIRAMINDS MEDICAL AID is a mental health (including community mental health center) clinic center in Centennial, CO. MIRAMINDS MEDICAL AID NPI is 1770190480. The provider is registered as an organization entity type.

The provider's business location address is:

9615 E COUNTY LINE RD
CENTENNIAL, CO
ZIP 80112-527
Phone: (310) 770-2057
Fax: (575) 205-0309

The provider's authorized official is Pamela A Yunga .
The authorized official title is Ceo and has the following contact phone number (424) 372-7860.

The enumeration date for this NPI number is 9/26/2020 and was last updated on 4/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
5261QR1300XClinic/CenterRural HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.