BOULDER MEDICAL CENTER, P.C.; NPI #1144853904

Contact Information

BOULDER MEDICAL CENTER, P.C.

1551 PROFESSIONAL LN UNIT 240
LONGMONT, CO 80501-6967

Phone: 303-938-4710
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for BOULDER MEDICAL CENTER, P.C.

NPI #	`1144853904`
LBN Legal business name	BOULDER MEDICAL CENTER, P.C.
Authorized official	CASANDRA RICHARDS - (CREDENTIALING COORDINATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/19/2020
Last updated	02/08/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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