Boulder Creek Transportation, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

922489529 Issued in CO

Legal business name

BOULDER CREEK TRANSPORTATION, INC.

Practice address

103 Eagle Canyon Circle
Lyons, CO 80540

Phone

(720) 428-2526

NPI assigned

Feb 26, 2015

Last updated

Feb 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Wetzelberger

Title

President

Phone

(720) 428-2526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1225420318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "805400936",
            "telephone_number": "720-428-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EAGLE CANYON CIRCLE",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "80540",
            "telephone_number": "720-428-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CREEK TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "WETZELBERGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-428-2526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "922489529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin Noel Byrne, MPT
• Choice of Wellness
• Sarah B Cole, MS, OTR/L

• Non-emergency Medical Transport (VAN) in Lyons, CO
• Providers in Lyons, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.