NPIMap

Organization Active NPI

Boulder County Public Health

  • Public Health or Welfare Agency
  • Boulder, CO
National Provider Identifier
1447254313
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
1001 Issued in CO
Legal business name
BOULDER COUNTY PUBLIC HEALTH
Practice address
3482 Broadway St
Boulder, CO 80304-1824
Phone
(303) 413-7500
Fax
(303) 441-1452
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 1001 CO Primary

Addresses

Primary practice location

3482 Broadway St
Boulder, CO 80304-1824

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00572543MedicaidCO

Other names 1

  • Boulder County Health Department Former legal business name

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

3482 Broadway St
Boulder, CO 80304
Phone (303) 413-7500

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1447254313",
    "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": "3482 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-413-7500",
            "fax_number": "303-441-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-07-24",
        "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": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CO",
            "license": "1001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572543",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder County Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 24, 2008; 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.