| NPI | 1811430283 |
|---|---|
| Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
| Former Legal Business Name | DAVITA MEDICAL GROUP COLORADO SPRINGS LLC |
| Former Legal Business Name | COLORADO SPRINGS HEALTH PARTNERS LLC |
| Doing Business As | OPTUM COLORADO SPRINGS SOUTHWEST |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-08-20 |