Organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Other names
Kaiser Permanente Lone Tree Surgery Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Authorized official
DENESE CLARK (REGIONAL ADMINISTRATOR)
(303) 326-6717
Entity
Organization
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 649-5710
(303) 649-5877
Mailing address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 649-5710
(303) 649-5877
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
1680000042
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142477
PK
—
Enumeration date
10/29/2013
Last updated
12/31/2025
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