BOULDER COMMUNITY HEALTH (NPI# 1629625108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629625108 |
| Entity Type | Organization |
| Organization Name | BOULDER COMMUNITY HEALTH |
| Other Organization Name | COMMUNITY MEDICAL ASSOC OF B.C.H. |
| Practice Address |
1755 48th St Ste 200 Boulder CO 80301-2712 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034157450 |
| Practice Fax Number | 3034945265 |
| Mailing Telephone | 3034157450 |
| Mailing Fax Number | 3034945265 |
| Enumeration Date | 2019-08-20 |
| 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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Boulder Creek Family Medicine | 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 |
1755 48TH ST STE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154366 | Kevin M Bundy | Family Medicine | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2005-06-16 |
| 1992367395 | Meredith Ann Waller | Social Worker | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2019-07-05 |
| 1184175952 | Reed P Fischer | Physician Assistant | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2016-10-17 |
| 1801343603 | Teri Marie Welte Savoie | Social Worker | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2016-09-09 |
| 1952785610 | Christine Marie Obermaier | Nurse Practitioner | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2015-07-13 |
| 1053723023 | Andrew James Mcbride | Family Medicine | 1755 48th St Ste 200, Boulder, CO 80301 | 2014-05-27 |
| 1194992198 | Nina Vergari Rogers | Family Medicine | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2008-05-09 |
| 1750442323 | Carla A Keahey | Nurse Practitioner | 1755 48th St Ste 200, Boulder, CO 80301 | 2006-12-13 |
| 1336125103 | Julie Ansell | Family Medicine | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2005-12-22 |
| 1225012834 | Jana Wynett | Family Medicine | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2005-12-06 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1720503139 | Take Two Health PC | Clinic/Center | 2503 Walnut St Ste 200, Boulder, CO 80302-5745 | 2017-08-07 |
| 1740837137 | Boulder Community Health | Clinic/Center | 6685 Gunpark Dr Ste 110, Boulder, CO 80301-3343 | 2019-08-21 |
| 1013564517 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2019-08-20 |
| 1285281865 | Boulder Community Health | Clinic/Center | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2019-08-20 |
| 1942856745 | Boulder Community Health | Clinic/Center | 2575 Spruce St, Boulder, CO 80302-3806 | 2019-08-16 |
| 1982250775 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 200, Boulder, CO 80303-1225 | 2019-08-16 |
| 1821415407 | Foundation Health | Clinic/Center | 1949 Pearl St, Boulder, CO 80302-4496 | 2014-03-21 |
| 1568715183 | Nancy Kelley, Md, LLC | Clinic/Center | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2012-10-19 |
| 1023339637 | High Altitude Spine and Sport | Clinic/Center | 2995 Baseline Rd, #101, Boulder, CO 80303-2318 | 2010-06-17 |
| 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.