BOULDER MEDICAL CENTER PC NPI 1962668319

NPI Information

NPI: 1962668319
Provider Name: BOULDER MEDICAL CENTER, PC

Other Name: BOULDER MEDICAL CENTER ASC

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

Specialization: Ambulatory Surgical

Address:
2750 BROADWAY ST
BOULDER, CO
ZIP 80304
Phone: (303) 440-3000
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BOULDER MEDICAL CENTER, PC is an ambulatory surgical clinic center in Boulder, CO. BOULDER MEDICAL CENTER, PC NPI is 1962668319. The provider is registered as an organization entity type.
The provider Other Name Is Boulder Medical Center Asc.

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 Bradford Mckane .
The authorized official title is Executive Director and has the following contact phone number (303) 440-3123.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 9/10/2008.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	160365	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	CA61015	MEDICARE PIN	COLORADO
2	160365	OTHER	COLORADO	STATE LICENSE AS AMBULATORY SURGICAL CENTER

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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