Boulder Family Practice Clinic

LBN: Boulder Family Practice Clinic
Boulder Family Practice Clinic is an health care organization with primary practice located at 1000 Alpine Ave #220, Boulder CO 80304-3406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Boulder Family Practice Clinic can be contacted via phone (303) 996-6804, or through Weber, Philip Frederick via phone (303) 996-6804.

Contact Information

Primary practice address
1000 Alpine Ave #220 Boulder CO 80304-3406
Phone: (303) 996-6804
Fax: (303) 996-6807
Website:
Map and Directions
Authorized official contact:
Name: Weber, Philip Frederick Doctor of Medicine (MD)
Phone: (303) 996-6804

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18572 Colorado

Profile Details

NPI number 1811976186
LBN Legal business name Boulder Family Practice Clinic
DBA Doing business as
Authorized official Weber, Philip Frederick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated Oct 2nd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811976186 NPPES
Colorado MEDICAID 56530544

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