BOULDER WOMEN'S CLINIC - NPI 1497925986 - Obstetrics & Gynecology in Boulder, CO

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

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About Boulder Women's Clinic NPPES

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

BOULDER WOMEN'S CLINIC (NPI 1497925986) is a healthcare organization registered as a gynecology in Boulder, Colorado and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through July 11, 2027 and lists Christine C Hansen, President, as its authorized official.

NPPES Registry Identity

NPI1497925986

Entity TypeOrganization

Primary Taxonomy207VG0400X

Legal Business NameCCHMD CORP

Location Address4745 ARAPAHOE AVE STE 110Boulder, CO 80303-1082

Mailing Address4745 Arapahoe Ave Ste 110Boulder, CO 80303-1082 · (303) 444-5110 · Fax (303) 444-7457

Phone(303) 444-5110

Fax(303) 444-7457

Organization SubpartNo

Authorized OfficialChristine C HansenPresident · (303) 444-5110

Enumeration DateMarch 11, 2008

✔ NPI 1497925986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

4745 ARAPAHOE AVE STE 110, Boulder, CO 80303

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Other Names 1

Doing Business AsBoulder Women's Clinic

Other Identifiers 1

Medicare PINC526728CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0686519

Boulder Womens Clinic PC · Boulder, CO

Active · expires Jul 11, 2027

CLIA Number06D0686519

Laboratory TypePhysician Office

Certificate Effective DateJuly 12, 2025

Certificate Expiration DateJuly 11, 2027

Laboratory DirectorChristine Hansen

Laboratory Phone(303) 444-5110

Laboratory LocationBoulder Womens Clinic PC4745 Arapahoe Ave, Ste 110, Boulder, CO 80303

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

MARY A MACSALKA M.D.

Obstetrics & Gynecology (Gynecology)