| Optumcare Colorado Medical Group Llc | |
|
6025 Delmonico Dr Colorado Springs CO 80919-2251 | |
| (719) 535-0648 | |
| (719) 262-5574 |
| Full Name | Optumcare Colorado Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 6025 Delmonico Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Emily Castillo (ASSOCIATE DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 7025793253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumcare Colorado Medical Group Llc 6025 Delmonico Drive Colorado Springs CO 80919-2251 Ph: (719) 538-2900 | Optumcare Colorado Medical Group Llc 6025 Delmonico Dr Colorado Springs CO 80919-2251 Ph: (719) 535-0648 |
| NPI Number | 1245781723 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245781723 | NPI | - | NPPES |
| 06085288 | Medicaid | CO | |
| 387379 | Other | CO | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Colorado) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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