Organization Active NPI

Boulder Mobile Acute Care PC

  • Urgent Care Clinic/Center
  • Boulder, CO
National Provider Identifier
1265866065
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BOULDER MOBILE ACUTE CARE PC
Practice address
1871 Folsom St.
Suite 104
Boulder, CO 80302
Phone
(303) 569-9938
Fax
(720) 235-0196
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Spencer M. King, MD
Title
Owner/Health Care Provider
Phone
(303) 709-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1871 Folsom St.
Suite 104
Boulder, CO 80302

Mailing address

PO Box 17483
Boulder, CO 80308
Phone (303) 569-9938

National Provider Directory

National Provider Directory

Locations

1871 Folsom St
Ste 104
Boulder, CO 80302
Phone (303) 569-9938

2031 Broadway
Ste 6
Boulder, CO 80302
Phone (303) 569-9938

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1265866065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17483",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80308",
            "telephone_number": "303-569-9938",
            "fax_number": "720-235-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 FOLSOM ST.",
            "address_2": "SUITE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-569-9938",
            "fax_number": "720-235-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER MOBILE ACUTE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "303-709-6102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 28, 2013; 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.