# BOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boulder Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336148360
- **Authorized official:** BETHANY BUENO (VP, REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (720) 359-2107

## Contact information

- **Practice address:** 4740 PEARL PKWY STE 100, BOULDER, CO 80301-3082
- **Practice address phone:** (303) 938-5470
- **Practice address fax:** (303) 938-5493
- **Mailing address:** PO BOX 18058, BOULDER, CO 80308-1058
- **Mailing address phone:** (303) 938-5470
- **Mailing address fax:** (303) 938-5493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0119 | CO | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 06/26/2019