| Kaiser Permanente | |
|
10350 E Dakota Ave Denver CO 80247-1314 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/Center |
| Location | 10350 E Dakota Ave, Denver, Colorado |
| Authorized Official Name and Position | Michael S Ramseier (REGIONAL PRESIDENT) |
| Authorized Official Contact | 3033447256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | Kaiser Permanente 10350 E Dakota Ave Denver CO 80247-1314 Ph: (303) 338-4545 |
| NPI Number | 1356459564 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 9739234410 |
|---|---|
| Medicare Enrollment ID | O20181029002641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356459564 | NPI | - | NPPES |
| 30478251 | Medicaid | CO | |
| 04020087 | Medicaid | CO | |
| 04510301 | Medicaid | CO | |
| 04710083 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 302R00000X | Health Maintenance Organization | (* (Not Available)) | Secondary |
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