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Boulder Medical Center, PC — NPI 1962668319, Boulder, CO | NPI Central

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NPI 1962668319

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Boulder Medical Center, PC

NPI 1962668319 · Ambulatory Surgical Clinic/Center · Boulder, CO

Provider details

NPI number: 1962668319
Entity type: Organization
Primary specialty: Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Casandra Richards, Credentialing Coordinator(303) 440-3076
License: 160365 (CO)

Specialties & taxonomies

Ambulatory Surgical Clinic/CenterPrimary261QA1903XLicense 160365 (CO)
Ambulatory Health Care Facilities

Practice location

2750 Broadway St

Boulder, CO 80304-3573

Phone: (303) 440-3000

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

2750 Broadway St

Boulder, CO 80304-3573

Other names (DBA / former)

Other name: Boulder Medical Center Asc

Registry dates

Enumerated: 2008-08-05
Last updated: 2026-04-29
Certified: 2026-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.