Organization
OPTUMCARE COLORADO ASC, LLC
Active
Parent organization
HEALTHCARE PARTNERS COLORADO, LLC
Other names
Colorado Springs Health Partners ASC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHCARE PARTNERS COLORADO, LLC
Authorized official
JOHN G. LIETHEN (SECRETARY)
(952) 205-6262
Entity
Organization
Contact information
Practice address
1615 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5788
(719) 636-3555
Mailing address
2 S CASCADE AVE, SUITE 140, COLORADO SPRINGS, CO 80903-1653
(719) 538-2900
(719) 538-2996
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465089
MEDICARE PTAN
CO
Enumeration date
11/06/2014
Last updated
08/20/2019
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