NPI 1083900831

Kaiser Foundation Healthplan of Colorado

Organisation Managed Care Organization Pharmacy Castle Rock, CO

Practice location

Address: 4318 Trail Boss Dr, Castle Rock, CO 80104-7512
Phone: (303) 814-4160
Fax: (303) 814-4170

Authorised official

Name: Denese Clark
Title: Regional Administrator
Phone: (303) 326-6717

Registered specialties

Managed Care Organization Pharmacy Primary

Suppliers Taxonomy 3336M0003X Licence 827 (CO)

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Registry record

NPI: 1083900831
Entity type: Organization
NPI issued: 21 Jun 2011
Record last updated: 15 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.