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INDEPENDENCE HEALTH CENTER AT JEFFERSON CENTER FOR MENTAL HEALTH
NPI 1316233174
Clinic/Center - Federally Qualified Health Center (FQHC) in Wheat Ridge, CO

Active since June 21, 2011
4851 INDEPENDENCE STREET, WHEAT RIDGE, CO 80033(303) 274-7094(303) 274-7095 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2020, Jun 6, 2017, Sep 16, 2016 (3 updates tracked since 2016).

About Independence Health Center At Jefferson Center For Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE HEALTH CENTER AT JEFFERSON CENTER FOR MENTAL HEALTH (NPI 1316233174), doing business as Stride Chc - Independence At Jefferson Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Wheat Ridge, Colorado and active in the NPI registry since June 2011. The organization lists Ben R. Wiederholt, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1316233174
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMETRO COMMUNITY PROVIDER NETWORK, INC.
Location Address4851 INDEPENDENCE STREETWheat Ridge, CO 80033-6715
Mailing Address2255 S Oneida StDenver, CO 80224-2522 · (303) 761-1977 · Fax (303) 761-2787
Phone(303) 274-7094
Fax(303) 274-7095
Organization SubpartYes
Authorized OfficialBen R. WiederholtPresident And Ceo · (303) 761-1977
Enumeration DateJune 21, 2011
Last NPPES UpdateMarch 10, 20203 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1316233174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4851 INDEPENDENCE STREET, Wheat Ridge, CO 80033
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Other Names 2

Other NameIndependence Health Center At Jefferson Center For Mental Health
Doing Business AsStride Chc - Independence At Jefferson Center

Other Identifiers 1

Medicaid58038230CO

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES MICHAEL O'CONNELL
Community Health Worker
4851 INDEPENDENCE STREET
WHEAT RIDGE, CO 80033
Jefferson County (303) 425-0300
DENNIS WILLIAM ORTEGA I
Counselor (Addiction (Substance Use Disorder))
4851 INDEPENDENCE STREET
WHEATRIDGE, CO 80033
Jefferson County (303) 425-0300
DANIELLE HATTON
Pharmacy Technician
4851 INDEPENDENCE STREET
WHEAT RIDGE, CO 80033
Jefferson County (303) 432-5115
GEOFFREY VIRGIL HAYS
Community Health Worker
4851 INDEPENDENCE STREET
WHEAT RIDGE, CO 80033
Jefferson County (303) 425-0300
MS. SARA ROSEN FRIEDMAN LCSW
Social Worker (Clinical)
4851 INDEPENDENCE STREET, 70 EXECUTIVE CENTER
WHEAT RIDGE, CO 80033
Jefferson County (303) 432-5483
CARMEN SERIN ATAMAN-PLASENCIA
Student in an Organized Health Care Education/Training Program
4851 INDEPENDENCE STREET
WHEAT RIDGE, CO 80033
Jefferson County (303) 425-0300
SEAN THOMAS WARNER
Counselor (Addiction (Substance Use Disorder))
4851 INDEPENDENCE STREET
WHEAT RIDGE, CO 80033
Jefferson County (303) 425-0300
RICKY A KINNEY
Community Health Worker
4851 INDEPENDENCE STREET
WHEAT RIDGE, CO 80033
Jefferson County (303) 425-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metro Community Provider Network, Inc.'s NPI number?

The NPI number for Metro Community Provider Network, Inc. is 1316233174. It was assigned to this organization in the NPPES registry on June 21, 2011. The provider is doing business as STRIDE CHC - Independence at Jefferson Center. The provider is also known as Independence Health Center At Jefferson Center For Mental Health.

Where is Metro Community Provider Network, Inc. located?

Metro Community Provider Network, Inc. is located at 4851 Independence Street, Wheat Ridge, CO 80033. The listed phone number is (303) 274-7094.

What is Metro Community Provider Network, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Metro Community Provider Network, Inc. was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.