ELEVATION ACUPUNCTURE & HERBS


Address: 3014 Bluff St, Suite 201, Boulder, CO 80301-2166
Phone: 3038887895

ELEVATION ACUPUNCTURE & HERBS (NPI# 1912338070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912338070
Entity Type Organization
Organization Name ELEVATION ACUPUNCTURE & HERBS
Practice Address 3014 Bluff St
Suite 201
Boulder
CO 80301-2166
Mailing Address 655 W Locust Ct
Louisville
CO 80027-1018
Practice Telephone 3038887895
Mailing Telephone 3038887895
Enumeration Date 2013-11-27
Last Update Date 2013-11-27
Authorized Official Name MELISSA ANN VIDAIC (OWNER/ACUPUNCTURIST)
Authorized Official Telephone 3038887895
Authorized Official Credential L. AC., DIPL. OM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
1273 CO Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841599982 Elevation Acupuncture & Herbs Clinic/Center 3101 Iris Ave, Suite 200, Boulder, CO 80301-1994 2011-03-15

Office Location

Street Address 3014 BLUFF ST
SUITE 201
City BOULDER
State CO
Zip Code 80301-2166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013130830 Mark E Graycar Chiropractor 3014 Bluff St, Suite 100, Boulder, CO 80301-2166 2007-04-10
1043502537 Todd M Ackerman Massage Therapist 3014 Bluff St, Suite 201, Boulder, CO 80301-2166 2011-05-03
1568632578 Cathrine Skogheim Walle Student in an Organized Health Care Education/Training Program 3014 Bluff St, Suite #100, Boulder, CO 80301-2166 2008-03-05
1871773150 Melissa Ann Vidaic Acupuncturist 3014 Bluff St, Suite 201, Boulder, CO 80301-2166 2007-11-05

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
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1669743191 Occupational Health Centers of The Southwest Pa PC Clinic/Center 3300 28th St, Boulder, CO 80301-1411 2012-01-13
1114154804 Altitude Optometry, P.C. Clinic/Center 1855 29th St # 1e-1156, Boulder, CO 80301-1065 2009-06-19

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1992337091 Tri-county Health Department Clinic/Center 7000 Broadway Ste 400, Denver, CO 80221-2947 2020-02-06
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Competitor

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City BOULDER
Zip Code 80301

Improve Information

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Dataset Information

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.

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