KAISER PERMANENTE HEALTH PLAN OF COLORADO; NPI #1609100957

Contact Information

KAISER PERMANENTE HEALTH PLAN OF COLORADO

3670 PARKER BLVD
PUEBLO, CO 81008-2285

Phone: 719-595-5367
Fax: 719-595-5370
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 PERMANENTE HEALTH PLAN OF COLORADO

NPI Number 1609100957

LBN Legal business name KAISER PERMANENTE HEALTH PLAN OF COLORADO

Authorized official DENESE CLARK - (REGIONAL ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/18/2009

Last updated 05/24/2021 - About 5 years ago

Identifiers

CO	License #	779
	Other	2121958	PK

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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