Organization
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Active
Parent organization
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Other names
Kaiser Permanente Waterpark I
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Authorized official
MATTHEW J SPLINTER (CPMG CFO)
(303) 344-7345
Entity
Organization
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04710083
—
CO
Enumeration date
07/19/2016
Last updated
05/25/2021
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