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OPTUMCARE COLORADO SPRINGS LLC NPI 1952652422


NPI Information

NPI: 1952652422
Provider Name: OPTUMCARE COLORADO SPRINGS, LLC

Doing Business As: COLORADO SPRINGS HEALTH PARTNERS, LLC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1106 N CASCADE AVE
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 389-6384
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OPTUMCARE COLORADO SPRINGS, LLC is a non pharmacy dispensing site in Colorado Springs, CO. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) OPTUMCARE COLORADO SPRINGS, LLC NPI is 1952652422. The provider is registered as an organization entity type.
The provider Is Doing Business As Colorado Springs Health Partners, Llc.

The provider's business location address is:

1106 N CASCADE AVE
COLORADO SPRINGS, CO
ZIP 80903-355
Phone: (719) 389-6384

The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.

The enumeration date for this NPI number is 9/25/2012 and was last updated on 8/20/2019.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104740080MEDICAIDCOLORADO

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: 11/14/2023

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