BOULDER MEDICAL CENTER, P.C.
NPI 1174156939
Clinic/Center - Multi-Specialty in Boulder, CO
NPI Status: Active since February 19, 2020
Contact Information
4745 ARAPAHOE AVE STE 200
BOULDER, CO
ZIP 80303
Phone: (303) 938-4700
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 06D0870647
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About BOULDER MEDICAL CENTER, P.C.
This page provides the complete NPI Profile along with additional information for Boulder Medical Center, P.c., a provider established in Boulder, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1174156939 assigned on February 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Casandra Richards (Credentialing Specialist)
- NPI
- 1174156939
- Provider Name
- BOULDER MEDICAL CENTER, P.C.
- Entity Type
- Organization
- Location Address
- 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303
- Location Phone
- (303) 938-4700
- Mailing Address
- 2750 BROADWAY ST BOULDER, CO 80304
- Mailing Phone
- (303) 440-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2020
- Last Update Date
- 10-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0870647
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. KATHRYN HOCH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Boulder Medical Center, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 1 | 5 | 6 | 9 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 2 | 5 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 2 + 5 + 1 + 2 + 9 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1174156939 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336125632 | DR. SUSAN A LARSON M.D. Individual | Pediatrics | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4750 |
| 1871767954 | MRS. ANGELA COGBURN PADDACK M.D. Individual | Otolaryngology | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 440-3073 |
| 1225254782 | KIMBERLY LERNER Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 666-2640 |
| 1912668476 | LABORATORY CORPORATION OF AMERICA Organization | Clinical Medical Laboratory | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 515-0315 |
| 1760774178 | TEUTA SHEMSHEDINI MD Individual | Obstetrics & Gynecology | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4750 |
| 1548090772 | LYNDSAY CHAUVEAU LEV CNM Individual | Midwife | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4710 |
| 1285603696 | LAUREN C BRAVE MD Individual | Pediatrics | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4750 |
| 1972638294 | ANDREA LIZETTE BURGESS MD Individual | Obstetrics & Gynecology | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4710 |
| 1629293436 | MS. ERIN GWEN HARPER-SANCHEZ CNM, NP, RN Individual | Nurse Practitioner (Family) | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4710 |
| 1639268642 | KATHRYN M HOCH M.D. Individual | Obstetrics & Gynecology | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4750 |
| 1811213838 | JAMES LAING GOTTLIEB M.D. Individual | Pediatrics | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 938-4750 |
| 1891174801 | DR. GILLIAN CLAIRE DITTON M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4745 ARAPAHOE AVE STE 200 BOULDER, CO 80303 (303) 666-2640 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174156939, enumerated in the NPI registry as an "organization" on February 19, 2020
The provider is located at 4745 Arapahoe Ave Ste 200 Boulder, Co 80303 and the phone number is (303) 938-4700
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 06D0870647 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 19, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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