BOULDER COMMUNITY HEALTH (NPI# 1679686992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679686992 |
| Entity Type | Organization |
| Organization Name | BOULDER COMMUNITY HEALTH |
| Other Organization Name | BOULDER COMMUNITY HOSPITAL |
| Practice Address |
1100 Balsam Ave Boulder CO 80304-3404 |
| Practice Telephone | 3034402273 |
| Practice Fax Number | 3034402435 |
| Mailing Telephone | 3034402273 |
| Mailing Fax Number | 3034402435 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MS. CAROL J WOODARD (CONTRACTING AND PROVIDER RELATIONS) |
| Authorized Official Telephone | 3039383295 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOULDER COMMUNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 0909 | CO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05027008 | 05 |
| Other Name | Type Code |
|---|---|
| Boulder Community Hospital | 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 |
1100 BALSAM AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293485 | Jie Mao | Radiology | 1100 Balsam Ave, Radiology, Boulder, CO 80304-3404 | 2005-08-30 |
| 1669987020 | Boulder Senior Adcocates | Social Worker | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2017-12-07 |
| 1740794650 | Suzanne Theresa Conversano | Counselor | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2017-11-30 |
| 1679000798 | Angela Ely | Social Worker | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2017-05-19 |
| 1366807117 | S Lisa Yordy | Social Worker | 1100 Balsam Ave, 4th Floor, Boulder, CO 80304-3404 | 2015-12-22 |
| 1861740532 | Margarita Kurinets | Physician Assistant | 1100 Balsam Ave, 3w, Boulder, CO 80304-3404 | 2012-08-28 |
| 1891012688 | Stephen J. Macdade | Emergency Medicine | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2010-05-03 |
| 1801043039 | Leslie Marie Glover | Registered Nurse | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2008-08-19 |
| 1760648240 | Jennifer Wing-chee Tsoi | Physical Medicine & Rehabilitation | 1100 Balsam Ave, 4th Floor, Boulder, CO 80304-3404 | 2008-08-04 |
| 1083881163 | Ashley Holladay Connolly | Counselor | 1100 Balsam Ave, Boulder Community Hospital, Boulder, CO 80304-3404 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188120 | Allison Sherry Speech Therapy | Rehabilitation Unit | 8120 Willow Bend Ct, Boulder, CO 80301-5017 | 2015-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679988596 | Rocky Mountain Rehab Solutions, PC | Rehabilitation Unit | 501 E Hampden Ave Fl 4, Englewood, CO 80113-2702 | 2014-06-30 |
| 1457477275 | University of Colorado Hospital Authority | Rehabilitation Unit | 12605 East 16th Avenue, Aurora, CO 80045 | 2007-03-22 |
| 1043379498 | Karen K Underwood Phd LLC | Rehabilitation Unit | 2815 N Chelton Rd, Colorado Springs, CO 80909-1009 | 2006-12-08 |
| 1770048217 | Uchealth Broomfield Hospital | Rehabilitation Unit | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2019-02-08 |
| 1629579396 | Poudre Valley Health Care Inc. | Rehabilitation Unit | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2018-02-27 |
| 1811344138 | Hca Healthone LLC | Rehabilitation Unit | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2016-05-17 |
| 1528442357 | Uchealth Broomfield Hospital | Rehabilitation Unit | 11820 Destination Dr, Broomfield, CO 80021 | 2015-07-10 |
| 1942605381 | Medical Center of The Rockies | Rehabilitation Unit | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2014-10-28 |
| 1255764288 | Shale A Breite | Rehabilitation Unit | 1920 High St, Denver, CO 80218-1213 | 2013-08-13 |
| 1083956551 | Portercare Adventist Health System | Rehabilitation Unit | 7700 S Broadway, Littleton, CO 80122-2602 | 2013-03-22 |
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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.