Provider Demographics
NPI:1144607417
Name:KAISER FOUNDATION HEALTH PLAN OF COLORADO
Entity Type:Organization
Organization Name:KAISER FOUNDATION HEALTH PLAN OF COLORADO
Other - Org Name:KAISER PERMANENTE FRISCO MEDICAL OFFICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAMSEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-344-7256
Mailing Address - Street 1:226 LUSHER COURT
Mailing Address - Street 2:STE 104
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-7600
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:226 LUSHER COURT
Practice Address - Street 2:SUITE 104
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-7600
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAISER FOUNDATION HEALTH PLAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-06
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center