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. |
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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 |
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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 |
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Provider Enumeration Date | 02/19/2020 |
Last Update Date | 02/08/2024 |
Identifier | Type | State | Issuer |
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1144853904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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