BOULDER COMMUNITY HEALTH (NPI# 1639726078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639726078 |
| Entity Type | Organization |
| Organization Name | BOULDER COMMUNITY HEALTH |
| Other Organization Name | COMMUNITY MEDICAL ASSOC OF B.C.H. |
| Practice Address |
4820 Riverbend Rd Ste 100 Boulder CO 80301-2618 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034155399 |
| Practice Fax Number | 3032975808 |
| Mailing Telephone | 3034155399 |
| Mailing Fax Number | 3032975808 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | WILLIAM A MUNSON JR. (VP,CFO) |
| Authorized Official Telephone | 3034157433 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOULDER COMMUNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Boulder Valley Pulmonology of B.C.H. Boulder | Other Name - Individual/Organization |
| Community Medical Assoc of B.C.H. | 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 |
4820 RIVERBEND RD STE 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265663 | Timothy M Clark | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-05-23 |
| 1265708622 | Samuel Clark Berngard | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2012-03-29 |
| 1174616130 | Hunter Russell Smith | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-10-02 |
| 1538266119 | Thomas A Minor | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-09-17 |
| 1073629507 | Thomas Matthew Wilcox | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 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 |
| 1447455316 | Terry Chiropractic Health Center, LLC | Clinic/Center | 2960 Diagonal Hwy, Suite 206, Boulder, CO 80301-1412 | 2007-06-19 |
| 1417908104 | Claude H. Burrow, M.d. | Clinic/Center | 2800 Folsom St, Suite B, Boulder, CO 80304-3738 | 2006-05-15 |
| 1073160420 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 100, Boulder, CO 80303-1123 | 2019-08-21 |
| 1790332187 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 140, Boulder, CO 80303-1082 | 2019-08-21 |
| 1467009761 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 320, Boulder, CO 80303-1082 | 2019-08-21 |
| 1144877523 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-08-21 |
| 1083261671 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 100b, Boulder, CO 80303-1224 | 2019-08-20 |
| Find all providers in BOULDER | ||||
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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.