Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Clinic/Center |
261Q00000X |
| NPI # | 1407963911 |
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| LBN Legal business name | KAISER FOUNDATION HEALTH PLAN OF COLORADO | ||||||||||||||||
| Authorized official | MICHAEL RAMSEIER - (REGIONAL PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 08/23/2006 | ||||||||||||||||
| Last updated | 05/25/2021 - About 5 years ago | ||||||||||||||||
| Identifiers |
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