| Boulder Medical Center, P.c. | |
|
1551 Professional Ln Unit 240 Longmont CO 80501-6967 | |
| (303) 938-4710 | |
| Not Available |
| Full Name | Boulder Medical Center, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1551 Professional Ln Unit 240, Longmont, Colorado |
| Authorized Official Name and Position | Casandra Richards (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3034403076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Medical Center, P.c. 2750 Broadway St Boulder CO 80304-3573 Ph: (303) 440-3000 | Boulder Medical Center, P.c. 1551 Professional Ln Unit 240 Longmont CO 80501-6967 Ph: (303) 938-4710 |
| NPI Number | 1144853904 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144853904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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