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BOULDER POINTE EQUESTRIAN & EVENT CENTER, LLC
NPI 1730834896
Point of Service in Anoka, MN

Active since February 17, 2022
6612 189TH LN NW, ANOKA, MN 55303(952) 220-6028 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boulder Pointe Equestrian & Event Center, Llc NPPES

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

BOULDER POINTE EQUESTRIAN & EVENT CENTER, LLC (NPI 1730834896) is a healthcare organization registered as a point of service in Anoka, Minnesota and active in the NPI registry since February 2022. The organization lists Brandon Gustafson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1730834896
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameBOULDER POINTE EQUESTRIAN & EVENT CENTER, LLC
Location Address6612 189TH LN NWAnoka, MN 55303-9519
Mailing Address6612 189th Ln NwAnoka, MN 55303-9519 · (952) 220-6028
Phone(952) 220-6028
Organization SubpartNo
Authorized OfficialBrandon GustafsonVice President · (952) 220-6028
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1730834896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
6612 189TH LN NW, Anoka, MN 55303
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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 Boulder Pointe Equestrian & Event Center, LLC's NPI number?

The NPI number for Boulder Pointe Equestrian & Event Center, LLC is 1730834896. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Boulder Pointe Equestrian & Event Center, LLC located?

Boulder Pointe Equestrian & Event Center, LLC is located at 6612 189th Ln NW, Anoka, MN 55303. The listed phone number is (952) 220-6028.

What is Boulder Pointe Equestrian & Event Center, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Boulder Pointe Equestrian & Event Center, LLC was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.