Edwards Medical Provider Group Boulder

LBN: Edwards Medical Provider Group
Edwards Medical Provider Group Boulder is an health care organization with primary practice located at 1360 Walnut St Ste 104B , Boulder CO 80302-5399. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Edwards Medical Provider Group can be contacted via phone (970) 693-0015, or through Elder, Ashley Blair via phone (737) 247-1223.

Contact Information

Primary practice address
1360 Walnut St Ste 104B Boulder CO 80302-5399
Phone: (970) 693-0015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elder, Ashley Blair PHD
Phone: (737) 247-1223

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1801662135
LBN Legal business name Edwards Medical Provider Group
DBA Doing business as Edwards Medical Provider Group Boulder
Authorized official Elder, Ashley Blair PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2023
Last updated Jan 26th, 2024 - about 11 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.

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