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1891809091

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
1	302R00000X	Health Maintenance Organization
2	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	:	1891809091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAISER FOUNDATION HEALTH PLAN OF COLORADO

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

Provider Business Practice Location Address
First Line	:	2500 S. HAVANA STREET
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1618
Country	:	US
Telephone Number	:	303-283-2633
Fax Number	:

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	04/03/2024

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Directions to “KAISER FOUNDATION HEALTH PLAN OF COLORADO ” 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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