OrganizationActive
Optumcare Colorado Medical Group LLC
NPI 1659641900 · Non-Pharmacy Dispensing Site · Colorado Springs, CO
Provider details
- NPI number
- 1659641900
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Emily Castillo, Associate Director Credentialing
Practice location
1633 Medical Center PT
Colorado Springs, CO 80907-5700
Phone: (719) 636-2999
Fax: (719) 475-2042
Mailing address
Po Box 35380
Las Vegas, NV 89133-5380
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.