CCHMD CORP NPI 1497925986

NPI Information

  • NPI: 1497925986
  • Provider Name: CCHMD CORP
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Doing Business As: BOULDER WOMEN'S CLINIC
  • CLIA Number: 06D0686519
  • Address: 4745 ARAPAHOE AVE STE 110
    BOULDER, CO
    ZIP 80303
  • Phone: (303) 444-5110

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NPI Details

CCHMD CORP is a gynecology obstetrics gynecology in Boulder, CO. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee CCHMD CORP NPI is 1497925986. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boulder Women's Clinic.

The provider's business location address is:

4745 ARAPAHOE AVE STE 110
BOULDER, CO
ZIP 80303-082
Phone: (303) 444-5110
Fax: (303) 444-7457

The provider's authorized official is Christine C Hansen .
The authorized official title is President and has the following contact phone number (303) 444-5110.

The CLIA number assigned to this NPI record is 06D0686519 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/11/2008 and was last updated on 3/11/2008.

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
1207VG0400XObstetrics & GynecologyGynecologyCOLORADOYes

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
1C526728MEDICARE PINCOLORADO

What is NPI?

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This page was last updated on: 11/21/2025

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