Davita Medical Group

LBN: Optumcare Colorado Medical Group Llc
Davita Medical Group is an health care organization with primary practice located at 2 S Cascade Ave Ste 140, Colorado Springs CO 80903. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Optumcare Colorado Medical Group Llc can be contacted via phone (719) 538-2900, or through Castillo, Emily via phone (702) 480-2550.

Contact Information

Primary practice address
2 S Cascade Ave Ste 140 Colorado Springs CO 80903
Phone: (719) 538-2900
Fax: (719) 538-2987
Website:
Map and Directions
Authorized official contact:
Name: Castillo, Emily
Phone: (702) 480-2550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Colorado

Profile Details

NPI number 1407252828
LBN Legal business name Optumcare Colorado Medical Group Llc
DBA Doing business as Davita Medical Group
Authorized official Castillo, Emily
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2014
Last updated Feb 13th, 2024 - about 9 months 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 1407252828 NPPES
Colorado MEDICAID 06085288

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