Front Range Preventive Imaging
LBN: Boulder Internal Medicine Pc
Front Range Preventive Imaging is an health care organization with primary practice located at 2880 Folsom St Suite 100, Boulder CO 80304-3769. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Boulder Internal Medicine Pc can be contacted via phone (303) 443-7226, or through Blanchet, William Lawson via phone (303) 443-7226.
Contact Information
Primary practice address
2880 Folsom St Suite 100
Boulder CO 80304-3769
Phone: (303) 443-7226
Fax: (303) 443-7168
Website:
Authorized official contact:
Name: Blanchet, William Lawson Doctor of Medicine (MD)
Phone: (303) 443-7226
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1104911361 |
|---|---|
| LBN Legal business name | Boulder Internal Medicine Pc |
| DBA Doing business as | Front Range Preventive Imaging |
| Authorized official | Blanchet, William Lawson Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 26th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104911361 | NPPES |
| Colorado | MEDICAID | 04021960 |
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