| 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 | 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 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 | 1992012769 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 04/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992012769 | NPI | - | NPPES |
| 04020087 | Medicaid | CO | |
| 04510301 | Medicaid | CO | |
| 04710083 | Medicaid | CO | |
| 30478251 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 | |
Kaiser Permanente Castle Rock Medical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104 Phone: 303-338-4545 | |
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