Boulder Holistic Medical Center

LBN: Portercare Adventist Health System
Boulder Holistic Medical Center is an health care organization with primary practice located at 805 S Broadway St Suite 103, Boulder CO 80305-5971. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Portercare Adventist Health System can be contacted via phone (303) 269-2560, or through Skinner, Angela via phone (303) 673-7175.

Contact Information

Primary practice address
805 S Broadway St Suite 103 Boulder CO 80305-5971
Fax: (303) 494-1841
Website:
Authorized official contact:
Name: Skinner, Angela

Health care specialties

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

Profile Details

NPI number 1962726927
LBN Legal business name Portercare Adventist Health System
DBA Doing business as Boulder Holistic Medical Center
Authorized official Skinner, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2010
Last updated Apr 20th, 2016 - about 9 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 1962726927 NPPES
Colorado MEDICAID 98209574

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