Organization

Colorado Permanente Medical Group, P.C.

May also be knows as Kaiser Permanente Longmont Medical Offices

Clinic/Center in Longmont, CO(View on Map)

Legal Business Name

Colorado Permanente Medical Group, P.C.

Also Known As

Kaiser Permanente Longmont Medical Offices

NPI Number

1184077133

NPI Type

Organization

Enumeration Date

07/14/2016

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

10350 E DAKOTA AVE
2345 BENT WAY

City

Denver
Longmont

State

CO
CO

Postal Code

80247-1314
80503-7614

Country

US
US

Telephone Number

N/A
(303) 338-4545

Authorized Official

Name

Matthew Splinter

Title or Position

CPMG CFO

Telephone Number

(303) 344-7345

Identifiers

Identifier

04710083

Identifier State

CO

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

SOAP

Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways

Endpoint Description

CAREQUALITY

Use

Health Information Exchange (HIE)

Content Type

Other

Other Description:
C-CDA

Affiliation

N

Endpoint Location

2345 Bent WayLongmont, CO805037614US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/25/2021

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