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BOULDER MEDICAL CENTER P.C. NPI 1073146833


NPI Information

NPI: 1073146833
Provider Name: BOULDER MEDICAL CENTER, P.C.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 06D0913765

Address:
89 S BRIGGS ST STE 105
ERIE, CO
ZIP 80516
Phone: (303) 673-0448
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BOULDER MEDICAL CENTER, P.C. is a multi-specialty clinic center in Erie, CO. BOULDER MEDICAL CENTER, P.C. NPI is 1073146833. The provider is registered as an organization entity type.

The provider's business location address is:

89 S BRIGGS ST STE 105
ERIE, CO
ZIP 80516-063
Phone: (303) 673-0448

The provider's authorized official is Casandra Richards .
The authorized official title is Credentialing Coordinator and has the following contact phone number (303) 440-3076.

The CLIA number assigned to this NPI record is 06D0913765 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/19/2020 and was last updated on 10/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.