KAISER FOUNDATION HEALTH PLAN OF COLORADO


Address: 215 S Parkside Dr, Colorado Springs, CO 80910-3131
Phone: 7193276565

KAISER FOUNDATION HEALTH PLAN OF COLORADO (NPI# 1881090967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881090967
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF COLORADO
Other Organization Name KAISER PERMANENTE PARKSIDE PHARMACY
Practice Address 215 S Parkside Dr
Colorado Springs
CO 80910-3131
Practice Telephone 7193276565
Practice Fax Number 7193276566
Mailing Telephone 3033266717
Enumeration Date 2014-11-17
Last Update Date 2016-08-15
Authorized Official Name DENESE CLARK (REGIONAL ADMINISTRATOR)
Authorized Official Telephone 3033266717
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
1680000076 CO Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2148786 01

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Parkside Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities KAISER FOUNDATION HEALTH PLAN OF COLORADO One Kaiser Plaza, Oakland, CA 94612

Office Location

Street Address 215 S PARKSIDE DR
City COLORADO SPRINGS
State CO
Zip Code 80910-3131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871537803 David I Greenberg Internal Medicine 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 2006-06-16
1346789609 Daniel Krawzyk Registered Nurse 215 S Parkside Dr, Colorado Springs, CO 80910-3131 2017-02-20
1487100541 Colorado Permanente Medical Group, P.C. Clinic/Center 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 2016-08-29
1083064711 Colorado Permanente Medical Group, PC Internal Medicine 215 S Parkside Dr, Colorado Springs, CO 80910-3131 2016-06-14
1982008785 Kaiser Foundation Health Plan of Colorado Clinical Medical Laboratory 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 2014-10-22
1316359763 Christopher E Chong Md PC Internal Medicine 215 S Parkside Dr, Colorado Springs, CO 80910-3131 2014-05-20
1053737304 Kaiser Foundation Health Plan of Co Clinic/Center 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 2014-03-11
1952629024 Pamela K Coffey Family Medicine 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 2010-05-13
1821314816 Megan Danielle Hiles Internal Medicine 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 2010-04-15
1700015278 Maria Laarni L Subang-doty Internal Medicine 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 2009-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952955403 Marian Lin Mondy Social Worker 2909 Wellshire Blvd., Colorado Springs, CO 80910 2019-08-01
1538727474 Lisa Morales Audiologist 3225 International Cir Ste 102, Colorado Springs, CO 80910 2019-06-05
1134617038 Paul Gross Counselor 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 2018-04-25
1821502923 Kathleen Lubos Ambros-dahilig Dental Assistant 2240 Gilpin Ave, Colorado Springs, CO 80910 2017-11-28
1508384793 Shawn Maul Registered Nurse 115 S Parkside, Colorado Springs, CO 80910 2017-09-07
1376910521 Kelley Elizabeth Smith Bouchard Nurse Practitioner 3225 International Circle Suite 220, Colorado Springs, CO 80910 2015-08-24
1619353430 Dr. Steven Alan Gould Dds PC Dentist 2859 E. Fountain Blvd, Colorado Springs, CO 80910 2015-08-04
1881029155 Francis Hammet Chiropractor 411 Lakewood Circle A1104, Colorado Springs, CO 80910 2013-09-05
1447697586 Mcb Clinical Research Centers, LLC Psychologist 110 S. Parkside Drive, Colorado Springs, CO 80910 2013-05-30
1417206723 Augustus Albert Edwards Case Manager/Care Coordinator 115 Parkside Drive, Colorado Springs, CO 80910 2012-08-31
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Taxonomy Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy 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.
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: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942533914 Kaiser Foundation Healthplan of Colorado Pharmacy 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 2009-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1770911729 Kaiser Foundation Health Plan of Colorado Pharmacy 10240 Park Meadow Dr, Lone Tree, CO 80124-5425 2013-10-29
1033652524 Kaiser Foundation Health Plan of Colorado Pharmacy 1136 E Stuart St, Fort Collins, CO 80525-1195 2016-12-01
1235545211 Kaiser Foundation Health Plan of Colorado Pharmacy 8383 W Alameda Ave, 2nd Floor, Lakewood, CO 80226-3007 2014-07-10
1467882597 Kaiser Foundation Healthplan of Colorado Pharmacy 2429 35th Ave, Greeley, CO 80634-4171 2013-11-27
1306274378 Kaiser Foundation Health Plan of Colorado Pharmacy 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 2013-10-29
1427303601 Kaiser Foundation Health Plan of Colorado Pharmacy 4901 Thompson Pkwy, Loveland, CO 80534-6426 2012-07-13
1396005336 Kaiser Foundation Health Plan of Colorado Pharmacy 2950 E Harmony Rd, Fort Collins, CO 80528-3419 2012-05-24
1083900831 Kaiser Foundation Healthplan of Colorado Pharmacy 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 2011-06-21
1891089645 Kaiser Foundation Healthplan of Colorado Pharmacy 859 S 4th Ave, Brighton, CO 80601-3543 2011-06-08
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Competitor

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City COLORADO SPRINGS
Zip Code 80910

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Dataset Information

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.

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