Kaiser Permanente Baseline Medical Offices

LBN: Colorado Permanente Medical Group, P.C.
Kaiser Permanente Baseline Medical Offices is an health care organization with primary practice located at 580 Mohawk Dr , Boulder CO 80303-3712. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Colorado Permanente Medical Group, P.C. can be contacted via phone (303) 338-4545, or through Splinter, Matthew J via phone (303) 344-7345.

Contact Information

Primary practice address
580 Mohawk Dr Boulder CO 80303-3712
Phone: (303) 338-4545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Splinter, Matthew J
Phone: (303) 344-7345

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Colorado

Profile Details

NPI number 1447603469
LBN Legal business name Colorado Permanente Medical Group, P.C.
DBA Doing business as Kaiser Permanente Baseline Medical Offices
Authorized official Splinter, Matthew J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2016
Last updated Apr 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447603469 NPPES
Colorado MEDICAID 04710083

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