BOULDER COMMUNITY HEALTH (NPI# 1487202552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487202552 |
| 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 | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMMUNITY MEDICAL CENTER IMAGING | 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 |
| 1669020731 | Boulder Community Health | Clinic/Center | 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 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239899 | Eagle Imaging LLC | Clinic/Center | 204 Petroleum Dr, Lafayette, LA 70508-3880 | 2020-09-09 |
| 1700424595 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-12-12 |
| 1710065750 | Greater Lafayette Health Services | Clinic/Center | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438 | 2006-11-01 |
| 1396849881 | Lafayette General Imaging LLC | Clinic/Center | 1211 Coolidge Blvd, Lafayette, LA 70503-2636 | 2006-09-12 |
| 1124044748 | St. Mary's Imaging Center | Clinic/Center | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1730780172 | Penrad Imaging LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 100, Monument, CO 80132-7302 | 2020-11-03 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1457967838 | Yampa Valley Medical Center | Clinic/Center | 1100 Central Park Dr Ste 1100, Steamboat Springs, CO 80487-8818 | 2020-09-21 |
| 1629614904 | Hca-healthone, LLC | Clinic/Center | 400 Indiana St Ste 210, Golden, CO 80401-5044 | 2019-11-21 |
| 1609412980 | Hca-healthone, LLC | Clinic/Center | 14100 E Arapahoe Rd Ste 120, Centennial, CO 80112-4028 | 2019-11-21 |
| 1558918599 | Aspen Valley Hospital Clinics, Pllc | Clinic/Center | 1450 E Valley Rd Unit 201, Basalt, CO 81621-8352 | 2019-08-23 |
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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.