KAISER FOUNDATION HEALTH PLAN OF COLORADO; NPI #1215406913

Contact Information

KAISER FOUNDATION HEALTH PLAN OF COLORADO

2625 W. PUEBLO BLVD
PUEBLO, CO 81004

Phone: 303-326-6717
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF COLORADO

NPI Number	`1215406913`
LBN Legal business name	KAISER FOUNDATION HEALTH PLAN OF COLORADO
Authorized official	DENESE CLARK - (REGIONAL ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/26/2018
Last updated	11/24/2025 - About 6 months ago
Identifiers	n/a

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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