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FOUR MILE CREEK HEALTH
NPI 1225854425
Family Medicine in Boulder, CO

Active since December 03, 2024
3434 47TH ST STE 225, BOULDER, CO 80301(703) 850-1533(303) 586-7592 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Four Mile Creek Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR MILE CREEK HEALTH (NPI 1225854425) is a healthcare organization registered as a family medicine in Boulder, Colorado and active in the NPI registry since December 2024. The organization lists Radford Fagan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1225854425
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFOUR MILE CREEK HEALTH
Location Address3434 47TH ST STE 225Boulder, CO 80301-1880
Mailing Address3434 47th St Ste 225Boulder, CO 80301-1880 · (703) 850-1533
Phone(703) 850-1533
Fax(303) 586-7592
Organization SubpartNo
Authorized OfficialRadford FaganVice President · (720) 792-2852
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1225854425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3434 47TH ST STE 225, Boulder, CO 80301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANDREY FAGAN MD
Family Medicine
3434 47TH ST STE 225
BOULDER, CO 80301
Boulder County (720) 792-2852
FABIANA MONTE ALEGRE OLMOS FERNANDEZ MD
Internal Medicine
3434 47TH ST STE 225
BOULDER, CO 80301
Boulder County (720) 792-2842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Mile Creek Health's NPI number?

The NPI number for Four Mile Creek Health is 1225854425. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Four Mile Creek Health located?

Four Mile Creek Health is located at 3434 47th St Ste 225, Boulder, CO 80301. The listed phone number is (703) 850-1533.

What is Four Mile Creek Health's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Four Mile Creek Health was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.