Colorado Permanente Medical Group, P.C.
Clinic/Center, Multi-Specialty in Colorado Springs, CO. Organization (NPI-2).
NPI number1336775469
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1336775469
- Entity type
- Organization (NPI-2)
- Legal business name
- Colorado Permanente Medical Group, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 20, 2020
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Kaiser Permanente Premier Medical Offices (Doing Business As)
Practice location
3920 N Union BlvdColorado Springs, CO 80907-4900
Phone 303-338-4545
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
Authorized official
Matthew J Splinter
Chief Financial Officer
3033447345
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