Boulder Medical Center, Pc in Boulder - Ambulatory Surgical
Boulder Medical Center, Pc - NPI 1962668319
Boulder Medical Center, Pc is a Ambulatory Surgical in Boulder, Colorado. Boulder Medical Center, Pc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Boulder Medical Center, Pc is 1962668319. The last update date is 2008-09-10.
Boulder Medical Center, Pc's current location address is 2750 Broadway St, Boulder, Colorado. You can contact this provider via phone number 3034403000. The mailing address for Boulder Medical Center, Pc is 2750 Broadway St, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Boulder Medical Center, Pc |
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Address | 2750 Broadway St, Boulder, Colorado |
Phone Number | 3034403000 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Mckane Bradford |
Telephone Number | 3034403123 |
NPI Number Detail
NPI Number | 1962668319 |
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Provider Enumeration Date | 2008-08-05 |
Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
Address | 2750 Broadway St |
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City | Boulder |
State | Colorado (CO) |
Post Code | 803043573 |
Phone Number | 3034403000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | 160365 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
160365 | CO | STATE LICENSE AS AMBULATORY SU |
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What is the Boulder Medical Center, Pc's 1962668319?
The Boulder Medical Center, Pc's NPI (National Provider Identifier) Number is 1962668319. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Boulder Medical Center, Pc's physical address?
The Boulder Medical Center, Pc is physically located at 2750 Broadway St, in the city of Boulder, CO, with the postal code 803043573.
What is the Boulder Medical Center, Pc's specialty and taxonomy code?
The Boulder Medical Center, Pc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
When did the Boulder Medical Center, Pc receive its 1962668319?
The Boulder Medical Center, Pc was issued its 1962668319 on 2008-08-05, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Boulder Medical Center, Pc most recently updated or revised?
The details related to Boulder Medical Center, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-10.