NPI | 1245781723 |
---|---|
Former Legal Business Name | DAVITA MEDICAL GROUP COLORADO SPRINGS LLC |
Doing Business As | OPTUM COLORADO SPRINGS - ROCKRIMMON |
Former Legal Business Name | COLORADO SPRINGS HEALTH PARTNERS LLC |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2016-10-19 |
Last Update Date | 2024-08-19 |