# THE COLORADO COLLEGE BOETTCHER HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295862480
- **Authorized official:** JUDITH U. REYNOLDS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (719) 389-6384

## Contact information

- **Practice address:** 1106 N CASCADE AVE, COLORADO SPRINGS, CO 80903-2367
- **Practice address phone:** (719) 389-6384
- **Practice address fax:** (719) 389-6928
- **Mailing address:** 1106 N CASCADE AVE, COLORADO SPRINGS, CO 80903-2367
- **Mailing address phone:** (719) 389-6384
- **Mailing address fax:** (719) 389-6928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | BB5482637 | CO | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020