Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
OptumCare Colorado Springs LLC, Optum Colorado Springs, Colorado Springs Health Partners LLC, DaVita Medical Group Colorado Springs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 463-5600
(719) 538-2990
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(719) 538-2990
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CO
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04740080
—
CO
05
—
06085288
—
CO
Enumeration date
06/09/2006
Last updated
08/19/2024
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