OPTUMCARE COLORADO MEDICAL GROUP LLC

COLORADO SPRINGS, CO
NPI1568093847
Former Legal Business NameDAVITA MEDICAL GROUP COLORADO SPRINGS LLC
Doing Business AsMOUNTAINVIEW MEDICAL GROUP AT CENTENIAL
Former Legal Business NameOPTUMCARE COLORADO SPRINGS LLC
Entity TypeOrganization
Authorized ContactEMILY CASTILLO
Associate Director Credentialing
702-579-3253
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-01-27
Last Update Date2024-08-20
Business Address
OPTUMCARE COLORADO MEDICAL GROUP LLC
3470 CENTENNIAL BLVD STE 205
COLORADO SPRINGS, CO 80907-8669
Phone number: 719-598-4588
Mailing Address
OPTUMCARE COLORADO MEDICAL GROUP LLC
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-579-3203