Organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Other names
Kaiser Permanente Baseline 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
580 MOHAWK DR, BOULDER, CO 80303-3712
(970) 554-5020
(970) 554-5010
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(970) 554-5020
(970) 554-5010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
90000041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003277
PK
—
Enumeration date
11/22/2006
Last updated
12/30/2025
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