National Provider Identifier Database

COLORADO PERMANENTE MEDICAL GROUP PC
Multi-Specialty


Contact Information

COLORADO PERMANENTE MEDICAL GROUP, P.C.
3920 N UNION BLVD
COLORADO SPRINGS, CO80907-4900
Phone: 303-338-4545
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for COLORADO PERMANENTE MEDICAL GROUP, P.C.

NPI Number 1336775469
Legal business name
LBN
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Authorized official MATTHEW SPLINTER - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 03/20/2020
Last updated 05/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 04020087
  • CO Medicaid: 04710083
  • CO Medicaid: 30478251

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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