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1720192461

NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF CO

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720192461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAISER FOUNDATION HEALTH PLAN OF CO

Provider Business Mailing Address
First Line	:	10350 E DAKOTA AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-1314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16290 E QUINCY AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-1594
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL PRESIDENT
Name	:	MICHAEL S RAMSEIER
Credential	:
Telephone Number	:	303-344-7256

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	04/13/2021

Similar Medicare Providers

1326553173 — MARJERIE MONIQUE MALABANAN FNP
Practice Location Address:

16290 E QUINCY AVE
AURORA, CO
80015-1594

Practice Phone: 303-338-4545
Practice Fax:

1457333866 — DR. MARCELLE JENNIFER REILLY D.O.
Practice Location Address:

16290 E QUINCY AVE
AURORA, CO
80015-1594

Practice Phone: 303-338-4545
Practice Fax:

1326098302 — DR. LISA M. MASSON MD
Practice Location Address:

16290 E QUINCY AVE
AURORA, CO
80015-1594

Practice Phone: 303-338-4545
Practice Fax:

1497709760 — DR. JENNIFER CULBERTSON ARTHUR MD
Practice Location Address:

16290 E QUINCY AVE
AURORA, CO
80015-1594

Practice Phone: 303-338-4545
Practice Fax:

1811909781 — DR. MARK DOUGLAS ROJEC M.D.
Practice Location Address:

16290 E QUINCY AVE
AURORA, CO
80015-1594

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Practice Fax:

1356416614 — KAISER FOUNDATION HEALTH PLAN OF COLORADO
Practice Location Address:

16290 E QUINCY AVE
AURORA, CO
80015-1594

Practice Phone: 303-699-3820
Practice Fax: 303-699-3840

Directions to “KAISER FOUNDATION HEALTH PLAN OF CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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