BOULDER MEDICAL CENTER, P.C. (NPI# 1144853904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144853904 |
| Entity Type | Organization |
| Organization Name | BOULDER MEDICAL CENTER, P.C. |
| Practice Address |
2030 Mountain View Ave Ste 400 Longmont CO 80501-3182 |
| Mailing Address |
2750 Broadway St Boulder CO 80304-3573 |
| Practice Telephone | 3039384710 |
| Mailing Telephone | 3034403000 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | CASANDRA ESPINOZA (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3034403076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| 1174156939 | Boulder Medical Center, P.C. | Clinic/Center | 4745 Arapahoe Ave Ste 200, Boulder, CO 80303-1082 | 2020-02-19 |
| 1699308452 | Boulder Medical Center, P.C. | Clinic/Center | 80 Health Park Dr Ste 100, Louisville, CO 80027-4644 | 2020-02-19 |
| 1306820923 | Boulder Medical Center, P.C. | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-12-06 |
| Street Address |
2030 MOUNTAIN VIEW AVE STE 400 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1134750524 | Halley Everall | Registered Nurse | 2030 Mountain View Ave Ste 400, Longmont, CO 80501-3182 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| 1508235573 | Michelle Gallagher | Speech-Language Pathologist | 601 Korte Parkway, Longmont, CO 80501 | 2015-09-21 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067702 | Western Infectious Disease Consultants, P.C. | Clinic/Center | 1551 Professional Ln Unit 280, Longmont, CO 80501-6965 | 2020-09-14 |
| 1013473321 | 1st Allergy Asthma and Pediatrics Too, Inc. | Clinic/Center | 1551 Professional Ln Unit 170, Longmont, CO 80501-6971 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1811596497 | Eye Associates of Colorado Springs, PC | Clinic/Center | 7075 Campus Dr Ste 100, Colorado Springs, CO 80920-6524 | 2020-10-23 |
| 1477169670 | Yampa Valley Medical Center | Clinic/Center | 136 Lincoln Ave, Steamboat Springs, CO 80487 | 2020-09-22 |
| 1932714714 | Silver Linings House Calls LLC | Clinic/Center | 5040 Shelby Dr, Castle Rock, CO 80104-5433 | 2020-09-09 |
| 1538774377 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| 1710517735 | Mckee Medical Center | Clinic/Center | 1805 E 18th St Ste 7, Loveland, CO 80538-4237 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.