Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
Optum Colorado Springs - Rockrimmon, Colorado Springs Health Partners LLC, DaVita Medical Group Colorado Springs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
6025 DELMONICO DR, COLORADO SPRINGS, CO 80919-2251
(719) 535-0648
(719) 262-5574
Mailing address
6025 DELMONICO DRIVE, COLORADO SPRINGS, CO 80919-2251
(719) 538-2900
(719) 538-2987
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CO
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06085288
—
CO
01
—
387379
MEDICARE ID
CO
Enumeration date
10/19/2016
Last updated
08/19/2024
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