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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 Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

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

NPI Number 1336775469
LBN Legal business name COLORADO PERMANENTE MEDICAL GROUP, P.C.
Authorized official MATTHEW SPLINTER - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2020
Last updated 05/25/2021 - About 5 years ago
Identifiers
CO Medicaid 04020087
CO Medicaid 04710083
CO Medicaid 30478251
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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