BOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER LLC NPI 1336148360

NPI Information

NPI: 1336148360
Provider Name: BOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER, LLC

Doing Business As: BOULDER SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4740 PEARL PKWY STE 100
BOULDER, CO
ZIP 80301
Phone: (303) 938-5470
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BOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Boulder, CO. BOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER, LLC NPI is 1336148360. The provider is registered as an organization entity type.
The provider Is Doing Business As Boulder Surgery Center.

The provider's business location address is:

4740 PEARL PKWY STE 100
BOULDER, CO
ZIP 80301-082
Phone: (303) 938-5470
Fax: (303) 938-5493

The provider's authorized official is Bethany Bueno .
The authorized official title is Vp, Revenue Cycle Management and has the following contact phone number (720) 359-2107.

The CLIA number assigned to this NPI record is 06D1033783 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 6/26/2019.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0119	COLORADO	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

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