| Kaiser Permanente Castle Rock Medical Offices | |
|
4318 Trail Boss Dr Ste 100 Castle Rock CO 80104-7512 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Kaiser Permanente Castle Rock Medical Offices |
|---|---|
| Speciality | Clinic/center |
| Location | 4318 Trail Boss Dr, Castle Rock, Colorado |
| Authorized Official Name and Position | Matthw J Splinter (CPMG CFO) |
| Authorized Official Contact | 3033447345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente Castle Rock Medical Offices 10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | Kaiser Permanente Castle Rock Medical Offices 4318 Trail Boss Dr Ste 100 Castle Rock CO 80104-7512 Ph: (303) 338-4545 |
| NPI Number | 1174079594 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174079594 | NPI | - | NPPES |
| 04710083 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Colorado) | Primary |
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