KAISER FOUNDATION HEALTH PLAN OF COLORADO (NPI# 1033652524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033652524 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| Other Organization Name | KAISER PERMANENTE SPRING CREEK PHARMACY |
| Practice Address |
1136 E Stuart St Fort Collins CO 80525-1195 |
| Practice Telephone | 9704934073 |
| Practice Fax Number | 9704931386 |
| Mailing Telephone | 3033266717 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | DENESE CLARK (REGIONAL ADMINISTRATOR) |
| Authorized Official Telephone | 3033266717 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 1680000127 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166464 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Spring Creek Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163145 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 3537 N Brighton Blvd, Denver, CO 80216 | 2017-09-13 |
| 1356770440 | Kaiser Foundation Health Plan of Colorado | Family Medicine | 15151 E Alameda Pkwy, Ste #1800, Aurora, CO 80012-1555 | 2013-11-08 |
| 1770911729 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 10240 Park Meadow Dr, Lone Tree, CO 80124-5425 | 2013-10-29 |
| 1205940921 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 16601 E Centretech Parkway, Aurora, CO 80111 | 2006-08-19 |
| 1891809091 | Kaiser Foundation Health Plan of Colorado | Health Maintenance Organization | 2500 S. Havana Street, Aurora, CO 80014-1618 | 2006-08-18 |
| 1053948471 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-25 |
| 1962039388 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-25 |
| 1871120295 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-25 |
| 1740751049 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-12-12 |
| 1912487810 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HEALTH PLAN OF COLORADO | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
1136 E STUART ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-1195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627218 | Larry D Kieft | Specialist | 1136 E Stuart St, Ste 2100, Fort Collins, CO 80525-1197 | 2005-05-23 |
| 1073154563 | Mindworks Wellness | Nurse Practitioner | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2019-10-05 |
| 1306381868 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-12-19 |
| 1679025068 | Agc In Home Services LLC | In Home Supportive Care | 1136 E Stuart St, Ste 4201, Fort Collins, CO 80525-1195 | 2016-11-01 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1396197539 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-07-12 |
| 1679924625 | Scott Mcnairy | Dentist | 1136 E Stuart St, Suite 3140, Fort Collins, CO 80525-1195 | 2016-06-30 |
| 1245699933 | Diane Marie Frye | Massage Therapist | 1136 E Stuart St, Ste 4202, Fort Collins, CO 80525-1195 | 2016-02-23 |
| 1104297183 | Sterling Davis | Acupuncturist | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2015-10-15 |
| 1376914705 | Brittany Pritchard | Speech-Language Pathologist | 1136 E Stuart St, #3120, Fort Collins, CO 80525-1195 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154706554 | Poudre Valley Health Care Inc | Pharmacy | 4630 Snow Mesa Dr, Fort Collins, CO 80528-8508 | 2015-07-27 |
| 1295146512 | Pvh Cancer Center Pharmacy | Pharmacy | 2121 E Harmony Rd Unit 150, Fort Collins, CO 80528-3413 | 2014-05-09 |
| 1306971171 | Poudre Drug Company | Pharmacy | 1221 East Elizabeth, Suite 1, Fort Collins, CO 80524-4066 | 2007-02-22 |
| 1093720336 | Walgreen Co | Pharmacy | 2190 W Drake Rd, Fort Collins, CO 80526-1488 | 2006-07-29 |
| 1871519918 | Hartshorn Health Service Pharmacy | Pharmacy | 151 W Lake St Suite 1100, Colorado State University, Fort Collins, CO 80523-0001 | 2006-07-14 |
| 1932145026 | Dillon Companies LLC | Pharmacy | 2602 S Timberline Rd, Fort Collins, CO 80525 | 2006-06-20 |
| 1134164809 | Dillon Companies LLC | Pharmacy | 4503 John F Kennedy Pkwy, Fort Collins, CO 80525 | 2006-06-18 |
| 1316980188 | Longs Drug Stores California Inc | Pharmacy | 932 W Drake Rd, Fort Collins, CO 80526-5525 | 2006-06-13 |
| 1407899271 | Longs Drug Stores California Inc | Pharmacy | 743 S Lemay Ave, Fort Collins, CO 80524-3251 | 2006-06-13 |
| 1225071095 | Longs Drug Stores California Inc | Pharmacy | 1538 E Harmony Rd, Fort Collins, CO 80525-8006 | 2006-06-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF COLORADO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.