Organization · Type 2 NPI

Colorado Permanente Medical Group, P.c.

Clinic/Center · Lone Tree, CO

NPI number 1962855221 Active

Practice location

9695 S Yosemite St, Ste 200
Lone Tree, CO 80124-2888

Call (303) 338-4545 Map

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

26 other providers at this address

Other clinic/center providers in Lone Tree

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NPI record

NPI: 1962855221
Entity type: Organization (Type 2)
Issued: Jul 21, 2016
Last updated: May 25, 2021
Status: Active
Subpart: Yes of Colorado Permanente Medical Group, P.c.

Other names

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Kaiser Permanente Yosemite South Medical Offices · doing business as
Kaiser Permanente Yosemite South Medical Offices · doing business as

Authorized official

Matthew J Splinter
CPMG CFO
(303) 344-7345

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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 1962855221

Colorado Permanente Medical Group, P.c.'s National Provider Identifier is 1962855221, issued on Jul 21, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lone Tree, CO. The record was last updated on May 25, 2021.