The Colorado College Boettcher Health Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

BB5482637 Issued in CO

Legal business name

THE COLORADO COLLEGE BOETTCHER HEALTH CENTER

Practice address

1106 N Cascade Ave
Colorado Springs, CO 80903-2367

Phone

(719) 389-6384

Fax

(719) 389-6928

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Judith U. Reynolds, M.D.

Title

Medical Director

Phone

(719) 389-6384

Specialties & licenses 1

Addresses

Tax ID family

The Colorado College Boettcher Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Colorado College Counseling Center

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1700029030
  NPD tax ID

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295862480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032367",
            "telephone_number": "719-389-6384",
            "fax_number": "719-389-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032367",
            "telephone_number": "719-389-6384",
            "fax_number": "719-389-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLORADO COLLEGE BOETTCHER HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-389-6384",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CO",
            "license": "BB5482637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Bridge
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• The Coach Home Care and Consulting Agency, LLC
• The Community Firm Dba the Community Economic
• The Compassion Collaborative, LLC
• The Counseling Collective
• The Counseling Couch LLC
• The Crossing Colorado

• Student Health Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Student Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.