| Optum Colorado Springs | |
|
2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1604 | |
| (719) 463-5600 | |
| (719) 538-2990 |
| Full Name | Optum Colorado Springs |
|---|---|
| Speciality | General Practice |
| Location | 2 S Cascade Ave Ste 140, 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 |
|---|---|
| Optum Colorado Springs Po Box 35380 Las Vegas NV 89133-5380 Ph: (702) 579-3203 | Optum Colorado Springs 2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1604 Ph: (719) 463-5600 |
| NPI Number | 1770524985 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770524985 | NPI | - | NPPES |
| 04740080 | Medicaid | CO | |
| 06085288 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (Colorado) | Primary |
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