THE COLORADO COLLEGE BOETTCHER HEALTH CENTER (NPI# 1295862480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295862480 |
| Entity Type | Organization |
| Organization Name | THE COLORADO COLLEGE BOETTCHER HEALTH CENTER |
| Practice Address |
1106 N Cascade Ave Colorado Springs CO 80903-2367 |
| Practice Telephone | 7193896384 |
| Practice Fax Number | 7193896928 |
| Mailing Telephone | 7193896384 |
| Mailing Fax Number | 7193896928 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUDITH U. REYNOLDS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7193896384 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
BB5482637 | CO | Ambulatory Health Care Facilities |
| Street Address |
1106 N CASCADE AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225173321 | Ann Lawrence Whitlock | Nurse Practitioner | 1106 N Cascade Ave, Colorado Springs, CO 80903-2367 | 2007-02-20 |
| 1952652422 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 1106 N Cascade Ave, Colorado Springs, CO 80903-1355 | 2012-09-25 |
| 1497033807 | Alexis Wilbert | Psychologist | 1106 N Cascade Ave, Colorado Springs, CO 80903-1355 | 2011-08-02 |
| 1700029030 | Colorado College Counseling Center | Counselor | 1106 N Cascade Ave, Colorado Springs, CO 80903-1355 | 2009-04-16 |
| 1114053659 | Alesia Risnes Sova | Nurse Practitioner | 1106 N Cascade Ave, Colorado Springs, CO 80903-2367 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659567782 | University of Colorado At Colorado Springs | Clinic/Center | 1420 Austin Bluffs Pkwy, Colorado Springs, CO 80918-3733 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502622 | Gunnison Valley Hospital | Clinic/Center | 600 N Adams Street, 104 Tomichi Hall, Gunnison, CO 81230-1920 | 2020-03-10 |
| 1366606709 | Rocky Vista Health Center LLC | Clinic/Center | 8401 S Chambers Rd Ste H-101, Parker, CO 80134-9498 | 2008-07-15 |
| 1083815203 | Wardenburg Health Center | Clinic/Center | 1900 Wardenburg Drive University of Colorado, Boulder, CO 80309-0119 | 2007-05-29 |
| 1225250004 | Hartshorn Health Center | Clinic/Center | Hartshorn Health Ctr, Colorado State University, Fort Collins, CO 80523-0001 | 2007-05-03 |
| 1225114705 | Regis University Student Health Services | Clinic/Center | 3333 Regis Blvd # F-12, Denver, CO 80221-1154 | 2006-10-27 |
| 1861752545 | Grand River Hospital District | Clinic/Center | 703 Railroad Ave, Rifle, CO 81650 | 2012-05-29 |
| 1841582590 | Csu Health Network | Clinic/Center | 600 South Dr, Hartshorn Building, Fort Collins, CO 80523-0001 | 2011-05-12 |
| 1386954550 | Grand River Hospital District | Clinic/Center | 100 E 2nd St, Parachute, CO 81635 | 2010-10-20 |
| 1265740005 | Wardenburg Health Center | Clinic/Center | Wardenburg Health Ctr, Ucb 119, Boulder, CO 80309-0119 | 2010-09-15 |
| 1265753735 | Denver Health Medical Center | Clinic/Center | 301 W 6th Ave, Denver, CO 80204-5182 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on THE COLORADO COLLEGE BOETTCHER HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.