BOULDER COUNTY PUBLIC HEALTH NPI 1093857906

NPI Information

NPI: 1093857906
Provider Name: BOULDER COUNTY PUBLIC HEALTH
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3470 BROADWAY ST
BOULDER, CO
ZIP 80304
Phone: (303) 441-1290
Get Directions

BOULDER COUNTY PUBLIC HEALTH is a substance abuse rehabilitation facility in Boulder, CO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BOULDER COUNTY PUBLIC HEALTH NPI is 1093857906. The provider is registered as an organization entity type.

The provider's business location address is:

3470 BROADWAY ST
BOULDER, CO
ZIP 80304-824
Phone: (303) 441-1290
Fax: (303) 441-1452

The provider's authorized official is Stephanie Martz .
The authorized official title is Director Of Administrative Services and has the following contact phone number (303) 441-1142.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 4/7/2011.

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
1	251K00000X	Public Health or Welfare		1001	COLORADO	No
2	324500000X	Substance Abuse Rehabilitation Facility		1003-00	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06376843	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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