OrganizationActive
Optumcare Colorado Medical Group LLC
NPI 1952652422 · Non-Pharmacy Dispensing Site · Colorado Springs, CO
Provider details
- NPI number
- 1952652422
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Optumcare Colorado Medical Group LLC
- Organization subpart
- Yes
- Authorized official
- Emily Castillo, Associate Director Credentialing(702) 579-3253
Specialties & taxonomies
Suppliers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Practice location
1106 N Cascade Ave
Colorado Springs, CO 80903-1355
Phone: (719) 389-6384
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35380
Las Vegas, NV 89133-5380
Other names (DBA / former)
- Former legal business name
- Colorado Springs Health Partners LLC
- Former legal business name
- Davita Medical Group Colorado Springs LLC
- Doing business as
- Optum Colorado Springs at Colorado College
- Former legal business name
- Optumcare Colorado Springs LLC
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2024-08-20
- Certified
- 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.