| Kaiser Permanente Baseline Medical Offices | |
|
580 Mohawk Dr Boulder CO 80303-3712 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Kaiser Permanente Baseline Medical Offices |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 580 Mohawk Dr, Boulder, Colorado |
| Authorized Official Name and Position | Michael S Ramseier (REGIONAL PRESIDENT) |
| Authorized Official Contact | 3033447256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente Baseline Medical Offices 10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | Kaiser Permanente Baseline Medical Offices 580 Mohawk Dr Boulder CO 80303-3712 Ph: (303) 338-4545 |
| NPI Number | 1073627360 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 04/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073627360 | NPI | - | NPPES |
| 04710083 | Medicaid | CO | |
| 30478251 | Medicaid | CO | |
| 04510301 | Medicaid | CO | |
| 04020087 | Medicaid | CO |
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