BOULDER MEDICAL CENTER P.C. NPI 1306820923

NPI Information

NPI: 1306820923
Provider Name: BOULDER MEDICAL CENTER, P.C.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2750 BROADWAY ST
BOULDER, CO
ZIP 80304
Phone: (303) 440-3000
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BOULDER MEDICAL CENTER, P.C. is a multi-specialty clinic center in Boulder, CO. BOULDER MEDICAL CENTER, P.C. NPI is 1306820923. The provider is registered as an organization entity type.

The provider's business location address is:

2750 BROADWAY ST
BOULDER, CO
ZIP 80304-573
Phone: (303) 440-3000

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 enumeration date for this NPI number is 12/6/2005 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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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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