NPIMap

Organization Active NPI

Boulder County Public Health

  • Substance Abuse Rehabilitation Facility
  • Boulder, CO
National Provider Identifier
1093857906
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1003-00 Issued in CO
Legal business name
BOULDER COUNTY PUBLIC HEALTH
Practice address
3470 Broadway St
Boulder, CO 80304-1824
Phone
(303) 441-1290
Fax
(303) 441-1452
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Stephanie Martz
Title
Director of Administrative Services
Phone
(303) 441-1142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 1001 CO
Substance Abuse Rehabilitation Facility 324500000X 1003-00 CO Primary

Addresses

Primary practice location

3470 Broadway St
Boulder, CO 80304-1824

Mailing address

3450 Broadway St
Boulder, CO 80304-1824
Phone (303) 441-1100

Other identifiers 1

IdentifierTypeStateIssuer
06376843MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Boulder County Public Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3470 Broadway St
Boulder, CO 80304
Phone (303) 441-1290

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1093857906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-441-1100",
            "fax_number": "303-441-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-441-1290",
            "fax_number": "303-441-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "303-441-1142",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CO",
            "license": "1001",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "1003-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06376843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.