| NPI | 1225923238 |
|---|---|
| Other Name | ELEVATED COMMUNITY HEALTH PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSH COGDILL CEO 970-686-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |