Kaiser Permanente Premier Medical Offices | |
3920 N Union Blvd Colorado Springs CO 80907-4900 | |
(303) 338-4545 | |
Not Available |
Full Name | Kaiser Permanente Premier Medical Offices |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 3920 N Union Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | Matthew J Splinter (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3033447345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kaiser Permanente Premier Medical Offices 10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | Kaiser Permanente Premier Medical Offices 3920 N Union Blvd Colorado Springs CO 80907-4900 Ph: (303) 338-4545 |
NPI Number | 1336775469 |
---|---|
Provider Enumeration Date | 03/20/2020 |
Last Update Date | 05/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336775469 | NPI | - | NPPES |
30478251 | Medicaid | CO | |
04020087 | Medicaid | CO | |
04710083 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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