Kaiser Foundation Health Plan Of Colorado in Boulder - Managed Care Organization Pharmacy

Kaiser Foundation Health Plan Of Colorado - NPI 1790850055

Kaiser Foundation Health Plan Of Colorado is a Managed Care Organization Pharmacy in Boulder, Colorado. Kaiser Foundation Health Plan Of Colorado practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Kaiser Foundation Health Plan Of Colorado is 1790850055. The last update date is 2021-05-24.

Kaiser Foundation Health Plan Of Colorado's current location address is 580 Mohawk Dr, Boulder, Colorado. You can contact this provider via phone number 9705545020 and fax number 9705545010. The mailing address for Kaiser Foundation Health Plan Of Colorado is 580 Mohawk Dr, Boulder, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kaiser Foundation Health Plan Of Colorado
Address 580 Mohawk Dr, Boulder, Colorado
Phone Number 9705545020
Fax Number 9705545010
Sole Proprietor --
Credentials --

Authorized Official

Title or Position REGIONAL A
Authorized Official Name Clark Denese
Telephone Number 3033266717

NPI Number Detail

NPI Number 1790850055
Provider Enumeration Date 2006-11-22
Last Updated Date 2021-05-24

Provider Mailing Address Detail

Address 580 Mohawk Dr
City Boulder
State Colorado (CO)
Post Code 803033712
Phone Number 9705545020
Fax Number 9705545010

Provider's Primary Taxonomy Detail

Speciality Managed Care Organization Pharmacy
Taxonomy 3336M0003X
Licence No 90000041
Definition:
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2003277 PK

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FAQs about Kaiser Foundation Health Plan Of Colorado

What is the Kaiser Foundation Health Plan Of Colorado's 1790850055?

The Kaiser Foundation Health Plan Of Colorado's NPI (National Provider Identifier) Number is 1790850055. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kaiser Foundation Health Plan Of Colorado's facilities are geographically located?

The facilities of Kaiser Foundation Health Plan Of Colorado are physically situated at the following location: 580 Mohawk Dr, Boulder, CO, 803033712.

What is the Kaiser Foundation Health Plan Of Colorado's specialty and taxonomy code?

The Kaiser Foundation Health Plan Of Colorado's specialty is Managed Care Organization Pharmacy, and the corresponding taxonomy code is 3336M0003X.

On what date was the 1790850055 assigned to Kaiser Foundation Health Plan Of Colorado?

The Kaiser Foundation Health Plan Of Colorado was issued its 1790850055 on 2006-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kaiser Foundation Health Plan Of Colorado, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kaiser Foundation Health Plan Of Colorado, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-24.

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