KAISER FOUNDATION HEALTH PLAN OF COLORADO NPI 1073627360

NPI Information

NPI: 1073627360
Provider Name: KAISER FOUNDATION HEALTH PLAN OF COLORADO

Doing Business As: KAISER PERMANENTE BASELINE MEDICAL OFFICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
580 MOHAWK DR
BOULDER, CO
ZIP 80303
Phone: (303) 338-4545
Get Directions

KAISER FOUNDATION HEALTH PLAN OF COLORADO is a multi-specialty clinic center in Boulder, CO. KAISER FOUNDATION HEALTH PLAN OF COLORADO NPI is 1073627360. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Baseline Medical Offices.

The provider's business location address is:

580 MOHAWK DR
BOULDER, CO
ZIP 80303-712
Phone: (303) 338-4545

The provider's authorized official is Michael S Ramseier .
The authorized official title is Regional President and has the following contact phone number (303) 344-7256.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 4/11/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261Q00000X	Clinic/Center		No
2	261QM1300X	Clinic/Center	Multi-Specialty	Yes
3	261QP2000X	Clinic/Center	Physical Therapy	No
4	261QP2300X	Clinic/Center	Primary Care	No
5	261QR1100X	Clinic/Center	Research	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	04710083	MEDICAID	COLORADO
2	30478251	MEDICAID	COLORADO
3	04020087	MEDICAID	COLORADO
4	04510301	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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.

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