# OPTUMCARE COLORADO SPRINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Springs Health Partners, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306233788
- **Authorized official:** JOHN G. LIETHEN (SECRETARY)
- **Authorized official phone:** (952) 205-6262

## Contact information

- **Practice address:** 2222 N NEVADA AVE, STE 4001, COLORADO SPRINGS, CO 80907
- **Practice address phone:** (719) 636-9393
- **Practice address fax:** (719) 636-9087
- **Mailing address:** 2 S. CASCADE AVE, SUITE 140, COLORADO SPRINGS, CO 80903-1653
- **Mailing address phone:** (719) 538-2900
- **Mailing address fax:** (719) 538-2987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | CO | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | CO | — |
| 208D00000X | General Practice Physician | — | CO | — |
| 208M00000X | Hospitalist Physician | — | CO | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | CO | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 08/19/2019
