| Boulder County Colorado | |
|
1333 Iris Ave Boulder CO 80304-2226 | |
| (303) 441-1000 | |
| Not Available |
| Full Name | Boulder County Colorado |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1333 Iris Ave, Boulder, Colorado |
| Authorized Official Name and Position | Ramona Farineau (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3034413499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder County Colorado Po Box 471 Boulder CO 80306-0471 Ph: (303) 441-1000 | Boulder County Colorado 1333 Iris Ave Boulder CO 80304-2226 Ph: (303) 441-1000 |
| NPI Number | 1053998955 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053998955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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