| St. Vincent General Hospital District | |
|
2503 Walnut St Ste 201 Boulder CO 80302-5745 | |
| (303) 883-6921 | |
| (303) 362-9464 |
| Full Name | St. Vincent General Hospital District |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2503 Walnut St Ste 201, Boulder, Colorado |
| Authorized Official Name and Position | Andrew Dreesen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7194867161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent General Hospital District 816 W 4th St Leadville CO 80461-3861 Ph: (719) 486-0230 | St. Vincent General Hospital District 2503 Walnut St Ste 201 Boulder CO 80302-5745 Ph: (303) 883-6921 |
| NPI Number | 1992443261 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992443261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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