Boulder Medical Center, P.C.
Clinic/Center, Multi-Specialty in Louisville, CO. Organization (NPI-2).
NPI number1699308452
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1699308452
- Entity type
- Organization (NPI-2)
- Legal business name
- Boulder Medical Center, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 19, 2020
- Certification date
- Feb 26, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
80 Health Park Dr Ste 100Louisville, CO 80027-4644
Phone 303-673-0448
Mailing address
2750 Broadway StBoulder, CO 80304-3573
Phone 303-440-3000
Other practice locations
80 Health Park Dr Ste 200
Louisville, CO 80027-4644
Louisville, CO 80027-4644
Phone 303-666-2710 · Fax 303-673-0438
Authorized official
Casandra Richards
Credentialing Specialist
3034403076
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