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MENTAL HEALTH CENTER OF BOULDER COUNTY NPI 1518080449


NPI Profile

NPI: 1518080449
Provider Name: MENTAL HEALTH CENTER OF BOULDER COUNTY

Former Legal Business Name: WARNER HOUSE

Classification:Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2833 BROADWAY ST
BOULDER, CO
ZIP 80304
Get Directions

Phone: (303) 449-2217

MENTAL HEALTH CENTER OF BOULDER COUNTY is a mental health (including community mental health center) clinic center in Boulder, CO. MENTAL HEALTH CENTER OF BOULDER COUNTY NPI is 1518080449. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Warner House.

The provider's business location address is:

2833 BROADWAY ST
BOULDER, CO
ZIP 80304-544
Phone: (303) 449-2217

The provider's authorized official is Robert March .
The authorized official title is Team Leader and has the following contact phone number (303) 449-2217.

The enumeration date for this NPI number is 4/7/2007 and was last updated on 12/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104988085MEDICAIDCOLORADO

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: 10/10/2021

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