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A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1952652422 |
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| LBN Legal business name | OPTUMCARE COLORADO MEDICAL GROUP LLC | ||||
| Authorized official | EMILY CASTILLO - (ASSOCIATE DIRECTOR CREDENTIALING) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 09/25/2012 | ||||
| Last updated | 08/20/2024 - More than a year ago | ||||
| Identifiers |
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OPTUMCARE COLORADO MEDICAL GROUP LLC
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| ALEXANDRU ALEXA, MD 1400 E BOULDER ST STE 2508 COLORADO SPRINGS, CO |
| OPTUMCARE COLORADO SPRINGS, LLC 2222 N NEVADA AVE COLORADO SPRINGS, CO |
| COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC 1644 MEDICAL CENTER PT COLORADO SPRINGS, CO |
| SARAH GOSS, MD 1650 COCHRANE CIR FORT CARRSON, CO |
| JAMES H WINEGARNER, MD EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIR B7500 FORT CARSON, CO |
| PATRICK BEEBE, DO 1650 COCHRANE CIR B7500 FORT CARSON, CO |
| MARC R WALKER, MD 1650 COCHRANE CIRCLE FORT CARSON, CO |
| MICHELLE BUEHNER, MD 4102 PINION DRIVE, 10TH MEDICAL GROUP U.S. AIR FORCE ACADEMY, CO |
| AEJA WEISS, MD 10TH MDG U.S. AIR FORCE ACADEMY, CO |
| FOUNTAIN CHIROPRACTIC AND WELLNESS CENTER 468 N. SANTA FE AVE FOUNTAIN, CO |
OPTUMCARE COLORADO MEDICAL GROUP LLC