BOULDER COMMUNITY HEALTH (NPI# 1619577681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619577681 |
Entity Type | Organization |
Organization Name | BOULDER COMMUNITY HEALTH |
Practice Address |
4743 Arapahoe Ave Ste 201 Boulder CO 80303-1128 |
Mailing Address |
4747 Arapahoe Ave Boulder CO 80303-1131 |
Practice Telephone | 3034422395 |
Mailing Telephone | 3034154700 |
Mailing Fax Number | 3034154701 |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |
Authorized Official Name | WILLIAM A MUNSON (CFO) |
Authorized Official Telephone | 7208547433 |
Is Organization Subpart | Y |
Parent Organization Name | BOULDER COMMUNITY HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Boulder Heart (Boulder) | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750981718 | Boulder Community Health | Clinical Medical Laboratory | 6685 Gunpark Dr Ste 100, Boulder, CO 80301-3388 | 2020-10-29 |
1225637879 | Boulder Community Health | Clinical Medical Laboratory | 3 Superior Dr Ste 100, Superior, CO 80027-8653 | 2020-10-23 |
1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Boulder Community Health | 4747 Arapahoe Avenue, Boulder, CO 80303 |
Colorado Business Entities | Boulder Community Health Foundation | 4860 Riverbend Road, 2nd Floor, Boulder, CO 80303 |
Colorado Business Entities | Boulder Community Health Rehab, LLC | 4747 Arapahoe Avenue, Boulder, CO 80303 |
Colorado Business Entities | Boulder Community Health Sports Medicine Imaging, LLC | 2150 Stadium Drive, 2nd Floor, Boulder, CO 80309 |
Street Address |
4743 ARAPAHOE AVE STE 201 |
City | BOULDER |
State | CO |
Zip Code | 80303-1128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700863545 | Molly Glen Ware | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2005-12-22 |
1588143069 | Sarah Chetham | Emergency Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2018-08-07 |
1730570789 | Vitale Grace Battaglini | Registered Nurse | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2015-02-12 |
1760813067 | Kathleen G Dworak | Registered Nurse | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2013-12-11 |
1225326978 | Mark S Lembach | Physician Assistant | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2011-07-15 |
1518108075 | Inge J Mcclory | Physician Assistant | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2009-03-13 |
1740453752 | Samvel G Aznaurov | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2008-04-10 |
1073737664 | Srinivas Iyengar | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2007-04-13 |
1902952989 | Brian Stewart Lyle | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2007-01-25 |
1558433557 | Roy W Thompson | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2006-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
Find all providers in zip 80303 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
1982162285 | Spot On Drug Testing | Clinic/Center | 2000 21st St Unit B, Boulder, CO 80302-4501 | 2019-03-05 |
1205121936 | Find Your Balance Acupuncture | Clinic/Center | 2760 29th St Unit 1c, Boulder, CO 80301 | 2011-06-10 |
1285962308 | Pain Free Today, P.C. | Clinic/Center | 3014 Bluff St Ste 201, Boulder, CO 80301-2165 | 2009-12-01 |
1609822030 | Boulder Community Health | Clinic/Center | 5450 Western Ave Ste B, Boulder, CO 80301-2709 | 2006-05-26 |
1306493879 | Boulder Community Health | Clinic/Center | 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 | 2019-08-20 |
1093289472 | Meridian Wellness, LLC | Clinic/Center | 842 W Hwy 12, Boulder, UT 84716 | 2019-01-18 |
1447603469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2016-07-14 |
1013389840 | Pearl Podiatry Health Center, LLC | Clinic/Center | 2575 Pearl St, Suite #240, Boulder, CO 80302-3868 | 2015-10-20 |
1558737973 | Colorado Body Wisdom | Clinic/Center | 1800 30th St, Suite 309, Boulder, CO 80301-1088 | 2015-08-19 |
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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.