STRIDE CHC - JEFFERSON PLAZA FAMILY HEALTH AT JEFFERSON CENTER
NPI 1679931646
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakewood, CO

Q: 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.

Active since February 05, 2016

3595 SOUTH TELLER STREET, LAKEWOOD, CO 80235(303) 239-9964(303) 237-4343 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2020, Jun 6, 2017, Sep 16, 2016 and 1 more (4 updates tracked since 2016).

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About Stride Chc - Jefferson Plaza Family Health At Jefferson Center NPPES

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

STRIDE CHC - JEFFERSON PLAZA FAMILY HEALTH AT JEFFERSON CENTER (NPI 1679931646) is a healthcare organization registered as a federally qualified health center (fqhc) in Lakewood, Colorado and active in the NPI registry since February 2016. The organization lists Ben R. Wiederholt, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1679931646

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMETRO COMMUNITY PROVIDER NETWORK, INC.

Location Address3595 SOUTH TELLER STREETLakewood, CO 80235-2014

Mailing Address2255 S Oneida StDenver, CO 80224-2522 · (303) 761-1977 · Fax (303) 761-2787

Phone(303) 239-9964

Fax(303) 237-4343

Organization SubpartYes

Authorized OfficialBen R. WiederholtPresident And Ceo · (303) 761-1977

Enumeration DateFebruary 5, 2016

Last NPPES UpdateMarch 10, 20204 updates tracked since enumeration

NPPES CertifiedMarch 10, 2020

✔ NPI 1679931646 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

3595 SOUTH TELLER STREET, Lakewood, CO 80235

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Other Names 1

Doing Business AsStride Chc - Jefferson Plaza Family Health At Jefferson Center

Other Identifiers 1

Medicaid60135131CO

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 1679931646. It was assigned to this organization in the NPPES registry on February 5, 2016. The provider is doing business as Stride Chc - Jefferson Plaza Family Health At Jefferson Center.

Where is Metro Community Provider Network, Inc. located?

Metro Community Provider Network, Inc. is located at 3595 South Teller Street, Lakewood, CO 80235. The listed phone number is (303) 239-9964.

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.