# OPTUMCARE COLORADO ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326563537
- **Authorized official:** JOHN G. LIETHEN (SECRETARY)
- **Authorized official phone:** (952) 205-6262

## Contact information

- **Practice address:** 715 N WEBER ST, COLORADO SPRINGS, CO 80903-1091
- **Practice address phone:** (719) 473-6115
- **Mailing address:** 2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2017
- **Last updated:** 08/19/2019
