| NPI | 1134496359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. JOHNSON Executive Director 720-837-0491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CO ACD236) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CO 236) |
| 302R00000X Health Maintenance Organization (Licence: CO 236) | |
| 305R00000X Preferred Provider Organization (Licence: CO 236) | |
| 305S00000X Point of Service (Licence: CO 236) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2017-05-15 |