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NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF COLORADO

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF COLORADO
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
1333600000XPharmacy
23336M0003XManaged Care Organization Pharmacy70000041CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12002803OTHERPK

General Provider Information

NPI Number : 1356416614
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER FOUNDATION HEALTH PLAN OF COLORADO
Provider Business Mailing Address
First Line : 16290 E QUINCY AVE
Second Line :
City : AURORA
State : CO
Zip : 80015-1594
Country : US
Telephone Number : 303-699-3820
Fax Number : 303-699-3840
Provider Business Practice Location Address
First Line : 16290 E QUINCY AVE
Second Line :
City : AURORA
State : CO
Zip : 80015-1594
Country : US
Telephone Number : 303-699-3820
Fax Number : 303-699-3840
Authorized Official
Title or Position : REGIONAL ADMINISTRATOR
Name : DENESE CLARK
Credential :
Telephone Number : 303-326-6717
Provider Enumeration Date : 11/22/2006
Last Update Date : 11/24/2025

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.
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80015-1594
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Practice Fax:
1326098302 — DR. LISA M. MASSON MD
Practice Location Address:
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AURORA, CO
80015-1594
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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
Practice Phone: 303-338-4545
Practice Fax:
1720192461 — KAISER FOUNDATION HEALTH PLAN OF CO
Practice Location Address:
16290 E QUINCY AVE
AURORA, CO
80015-1594
Practice Phone: 303-338-4545
Practice Fax:

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

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