Provider Demographics
NPI:1942351564
Name:OPTUMHEALTH CARE SOLUTIONS
Entity Type:Organization
Organization Name:OPTUMHEALTH CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESMET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-797-4821
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-0212
Mailing Address - Country:US
Mailing Address - Phone:763-595-3200
Mailing Address - Fax:763-595-3333
Practice Address - Street 1:6300 HIGHWAY 55
Practice Address - Street 2:MN010-W120
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4946
Practice Address - Country:US
Practice Address - Phone:763-595-3200
Practice Address - Fax:763-595-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty