Organization · Type 2 NPI

Kaiser Foundation Health Plan of Colorado

Multi-Specialty Clinic/Center · Wheatridge, CO

NPI number 1003920786 Active

Practice location

70 Executive Center II, 4851 Independence Street Suite 270
Wheatridge, CO 80033

Call (303) 467-5850 Map

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

NPI record

NPI: 1003920786
Entity type: Organization (Type 2)
Issued: Aug 18, 2006
Last updated: Sep 18, 2026
Status: Active
Subpart: Yes of Kaiser Permanente

Other names

<unavail>
Executive Center MH · doing business as
Executive Center MH · doing business as

Authorized official

Cortney A Eisses
Regional President
(303) 957-8351

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003920786

Kaiser Foundation Health Plan of Colorado's National Provider Identifier is 1003920786, issued on Aug 18, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wheatridge, CO. The record was last updated on Sep 18, 2026.