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Organization

OPTUMCARE COLORADO SPRINGS, LLC

Active
Other names
Colorado Springs Health Partners, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN G. LIETHEN (SECRETARY)
(952) 205-6262
Entity
Organization

Contact information

Practice address
2222 N NEVADA AVE, STE 4001, COLORADO SPRINGS, CO 80907
(719) 636-9393
(719) 636-9087
Mailing address
2 S. CASCADE AVE, SUITE 140, COLORADO SPRINGS, CO 80903-1653
(719) 538-2900
(719) 538-2987

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
CO
208D00000X
General Practice Physician
CO
208M00000X
Hospitalist Physician
Primary
CO
363LA2100X
Acute Care Nurse Practitioner
CO
363LA2100X
Acute Care Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06085288
CO
Enumeration date
04/23/2015
Last updated
08/19/2019
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