| NPI | 1770714339 |
|---|---|
| Doing Business As | OPTUM COLORADO SPRINGS 1625 MEDICAL CENTER POINT |
| Former Legal Business Name | DAVITA MEDICAL GROUP COLORADO SPRINGS LLC |
| Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
| 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 | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2024-08-20 |