HAVANA MEDICAL AND HEALTHCARE SERVICES NPI 1518609650

NPI Information

NPI: 1518609650
Provider Name: HAVANA MEDICAL AND HEALTHCARE SERVICES
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1450 S HAVANA ST STE 200
AURORA, CO
ZIP 80012
Phone: (720) 628-4593
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HAVANA MEDICAL AND HEALTHCARE SERVICES is a health service clinic center in Aurora, CO. HAVANA MEDICAL AND HEALTHCARE SERVICES NPI is 1518609650. The provider is registered as an organization entity type.

The provider's business location address is:

1450 S HAVANA ST STE 200
AURORA, CO
ZIP 80012-021
Phone: (720) 628-4593

The provider's authorized official is Malik Olasunkanmi Kuforiji .
The authorized official title is Owner/administrator and has the following contact phone number (720) 628-4593.

The enumeration date for this NPI number is 4/9/2022 and was last updated on 4/9/2022.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20218235356	OTHER	COLORADO	CERTIFICATE OF GOOD STANDING

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

NPI Synchronization or Removal

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