Organization
BOULDER VALLEY WOMEN'S HEALTH CENTER, INC.
Active
Parent organization
BOULDER VALLEY WOMEN'S HEALTH CENTER, INC.
Other names
Women's Health at Longmont
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULDER VALLEY WOMEN'S HEALTH CENTER, INC.
Authorized official
SUSAN LEVY (EXECUTIVE DIRECTOR)
(303) 440-9320
Entity
Organization
Contact information
Practice address
82 21ST AVE, LONGMONT, CO 80501-2967
(303) 774-8671
Mailing address
2855 VALMONT RD, BOULDER, CO 80301-1309
(303) 440-9320
(303) 440-8769
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390479
MEDICARE PTAN
—
Enumeration date
11/17/2015
Last updated
11/17/2015
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