Organization · Type 2 NPI

Optumcare Colorado Medical Group LLC

Non-Pharmacy Dispensing Site · Colorado Springs, CO

NPI number 1952652422 Active

Practice location

1106 N Cascade Ave
Colorado Springs, CO 80903-1355

Call (719) 389-6384 Map

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

Taxonomy	Code	License
General Practice Physician	208D00000X	None listed
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5 other providers at this address

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NPI record

NPI: 1952652422
Entity type: Organization (Type 2)
Issued: Sep 25, 2012
Last updated: Aug 20, 2024
Status: Active
Subpart: Yes of Optumcare Colorado Medical Group LLC

Other names

<unavail>
Optum Colorado Springs at Colorado College · doing business as
Colorado Springs Health Partners LLC · former legal business name
Davita Medical Group Colorado Springs LLC · former legal business name
Optumcare Colorado Springs LLC · former legal business name

Authorized official

Emily Castillo
Associate Director Credentialing
(702) 579-3253

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About NPI 1952652422

Optumcare Colorado Medical Group LLC's National Provider Identifier is 1952652422, issued on Sep 25, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 20, 2024.