PA
PARK AVENUE SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
DENVER, CO
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1689748758
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients219
RevalidationDue 2023-11-30
Authorized official
NameJERRY POPHAM
TitlePRESIDENT
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