Lookup NPI Numbers from the NPI Registry
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X |
| NPI # | 1285168583 |
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| LBN Legal business name | STATE OF COLORADO | ||||||||||||
| Authorized official | LYN SNOW - (COMPLIANCE OFFICER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/13/2017 | ||||||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||||||
| Identifiers |
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STATE OF COLORADO
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| PETER E CARRA, OD 10TH MEDICAL GROUP AF ACADEMY, CO |
| AGATE FIRE PROTECTION DISTRICT 40160 COUNTY ROAD 153 AGATE, CO |
| HANNAH L BEAL MALOTT, MD 10TH MEDICAL GROUP 4102 PINION DRIVE 719-524-2273, CO |
| COLLABORATIVE JOURNEYS, LLC 36533 COUNTY ROAD 153 AGATE, CO |
| LISA M PEREZ, APN 725 S 4TH STREET 9702407734, CO |
STATE OF COLORADO