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OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO PLLC NPI 1134868599


NPI Information

NPI: 1134868599
Provider Name: OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC

Other Name: OAK STREET HEALTH VISTA GRANDE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D2267665

Address:
4380 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 454-6009
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OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC is a primary care clinic center in Colorado Springs, CO. OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC NPI is 1134868599. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Oak Street Health Vista Grande.

The provider's business location address is:

4380 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO
ZIP 80918-932
Phone: (719) 454-6009
Fax: (719) 258-1319

The provider's authorized official is Griffin Myers .
The authorized official title is Cmo and has the following contact phone number (307) 264-2085.

The CLIA number assigned to this NPI record is 06D2267665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207R00000XInternal MedicineNo
5363L00000XNurse PractitionerNo
6363LF0000XNurse PractitionerFamilyNo
7261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.