Organization
KAISER FOUNDATION HEALTH PLAN OF CO
Active
Parent organization
KAISER PERMANENTE
Other names
Executive Center MH
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER PERMANENTE
Authorized official
MICHAEL S RAMSEIER (REGIONAL PRESIDENT)
(303) 344-7256
Entity
Organization
Contact information
Practice address
70 EXECUTIVE CENTER II, 4851 INDEPENDENCE STREET SUITE 270, WHEATRIDGE, CO 80033
(303) 467-5850
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020087
—
CO
05
—
04510301
—
CO
05
—
04710083
—
CO
05
—
30478251
—
CO
Enumeration date
08/18/2006
Last updated
05/25/2021
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