Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
Optum Colorado Springs, DaVita Medical Group Colorado Springs LLC, Optumcare Colorado Springs LLC, Colorado Springs Health Partners LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (REGIONAL MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
1633 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
(719) 463-5600
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06085288
—
CO
Enumeration date
11/12/2014
Last updated
10/10/2024
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