Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
DaVita Medical Group Colorado Springs LLC, OptumCare Colorado Springs LLC, Optum Colorado Springs, Colorado Springs Health Partners LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
1633 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
(719) 636-2999
(719) 475-2042
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
08/20/2024
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