BOULDER COMMUNITY HEALTH (NPI# 1669020731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669020731 |
| Entity Type | Organization |
| Organization Name | BOULDER COMMUNITY HEALTH |
| Practice Address |
1000 W South Boulder Rd Lafayette CO 80026-2752 |
| Mailing Address |
4747 Arapahoe Ave Boulder CO 80303-1131 |
| Practice Telephone | 3034154300 |
| Mailing Telephone | 3034154700 |
| Mailing Fax Number | 3034154701 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | JAY PEKAREK (REIMBURSEMENT SPECIALIST) |
| Authorized Official Telephone | 3034154233 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOULDER COMMUNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMMUNITY MEDICAL CENTER | 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 |
1000 W SOUTH BOULDER RD |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497736722 | Mira V Lee | Family Medicine | 1000 W South Boulder Rd, Suite 110, Lafayette, CO 80026-2752 | 2005-11-14 |
| 1407454317 | Boulder Emergency Physicians PC | Emergency Medicine | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2020-10-13 |
| 1427696707 | Midori Hiraki-sawyers | Physical Therapist | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-12-17 |
| 1700424595 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-12-12 |
| 1477101541 | Boulder Community Health | Clinical Medical Laboratory | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-08-30 |
| 1730737800 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-08-30 |
| 1487202552 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-08-30 |
| 1215365812 | Christina Ann Travis | Registered Nurse | 1000 W South Boulder Rd, Suite 110, Lafayette, CO 80026-2752 | 2013-10-17 |
| 1093141855 | Molly Kate Brown | Nurse Practitioner | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2013-09-24 |
| 1164856738 | Julia Margaret Engle | Physical Therapist | 1000 W South Boulder Rd, Suite 210, Lafayette, CO 80026-2752 | 2013-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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|---|---|---|---|---|
| 1669094702 | Gunnison Valley Hospital | Clinic/Center | 12 Snowmass Road #100, Crested Butte, CO 81225 | 2020-05-12 |
| 1134754153 | Gunnison Valley Hospital | Clinic/Center | 12 Snowmass Road, #100, Crested Butte, CO 81225 | 2020-03-10 |
| 1477192805 | Parkview Medical Center, Inc | Clinic/Center | 899 E Industrial Blvd, Pueblo West, CO 81007-1442 | 2020-01-02 |
| 1922644194 | Hca Healthone LLC | Clinic/Center | 12223 Pine Bluffs Way, Parker, CO 80134-1201 | 2019-11-22 |
| 1447815881 | Hca-healthone LLC | Clinic/Center | 12793 Holly St, Thornton, CO 80241-3198 | 2019-05-01 |
| 1417511825 | Hca-healthone LLC | Clinic/Center | 4930 Wabash St, Denver, CO 80238-3281 | 2019-05-01 |
| 1790340131 | Hca-healthone LLC | Clinic/Center | 6196 S Ammons Way, Littleton, CO 80123-4109 | 2019-05-01 |
| 1871157297 | Hca-healthone LLC | Clinic/Center | 22500 E Dry Creek Rd, Aurora, CO 80016-2120 | 2019-05-01 |
| 1073178414 | Hca-healthone LLC | Clinic/Center | 260 S Wadsworth Blvd, Lakewood, CO 80226-1517 | 2019-05-01 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
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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.