Boulder Family Medicine, Pc

LBN: Boulder Family Medicine, Pc
Boulder Family Medicine, Pc is an health care organization with primary practice located at 1000 Alpine Ave Ste 260, Boulder CO 80304-3406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Boulder Family Medicine, Pc can be contacted via phone (303) 996-6923, or through Tawa, Charles via phone (303) 996-6923.

Contact Information

Primary practice address
1000 Alpine Ave Ste 260 Boulder CO 80304-3406
Phone: (303) 996-6923
Fax: (303) 996-6926
Website:
Map and Directions
Authorized official contact:
Name: Tawa, Charles Doctor of Medicine (MD)
Phone: (303) 996-6923

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28790 Colorado

Profile Details

NPI number 1295929503
LBN Legal business name Boulder Family Medicine, Pc
DBA Doing business as
Authorized official Tawa, Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Nov 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295929503 NPPES
Colorado Other C802261 MEDICARE
Colorado MEDICAID 01287903 MEDICARE

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