| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 975 North St, Boulder, Colorado |
| Authorized Official Name and Position | Brian J Johnston (CFO) |
| Authorized Official Contact | 3039260625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1455 Dixon Ave Lafayette CO 80026-8879 Ph: (303) 443-8500 | 975 North St Boulder CO 80304-3279 Ph: (303) 443-8500 |
| NPI Number | 1154920908 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154920908 | NPI | - | NPPES |
| 43105106 | Medicaid | CO |
Pearl Podiatry Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Pearl St, Suite #240, Boulder, CO 80302 Phone: 303-442-2910 Fax: 303-442-2931 | |
High Altitude Spine And Sport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2995 Baseline Rd, #101, Boulder, CO 80303 Phone: 303-829-1040 Fax: 303-440-0905 | |
Boulder Center For Age Management Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 38th St Ste 207w, Boulder, CO 80301 Phone: 720-381-3318 Fax: 720-496-1780 | |
University Of Colorado Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave, Boulder, CO 80303 Phone: 303-544-3900 | |