BOULDER COMMUNITY HEALTH (NPI# 1992353064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992353064 |
| Entity Type | Organization |
| Organization Name | BOULDER COMMUNITY HEALTH |
| Practice Address |
2101 Ken Pratt Blvd Longmont CO 80501-6567 |
| Mailing Address |
4747 Arapahoe Ave Boulder CO 80303-1131 |
| Practice Telephone | 3034422395 |
| Practice Fax Number | 3034421073 |
| 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 | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| FRONTIER INTERNAL MEDICINE LAB | 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 |
2101 KEN PRATT BLVD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679654909 | Thomas Laverne Bachinski | Physician Assistant | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| 1801433867 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-12-09 |
| 1033767744 | Rebekah Harvey | Nurse Practitioner | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-08-27 |
| 1376807727 | Tanja Krutina Lindsey | Family Medicine | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2012-06-29 |
| 1437230158 | Mary Bruce Poole | Internal Medicine | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-18 |
| 1093896342 | Holly Lewis | Internal Medicine | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| 1285715532 | Laird Peter Cagan | Internal Medicine | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386918522 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2345 Bent Way, Longmont, CO 80503-7614 | 2012-03-06 |
| 1477856235 | Phyhealth Sleep Care Corporation | Clinical Medical Laboratory | 1325 Dry Creek Dr, Suite 303, Longmont, CO 80503-7731 | 2010-12-15 |
| 1619073947 | Longmont Clinic Lab | Clinical Medical Laboratory | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2006-09-15 |
| 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 |
| 1639778921 | Denver Recovery Group LLC | Clinical Medical Laboratory | 56 E Arapahoe Rd, Littleton, CO 80122-8001 | 2020-10-19 |
| 1750990552 | Centennial State Lab, LLC | Clinical Medical Laboratory | 651 Corporate Cir Ste 104, Golden, CO 80401-5652 | 2020-07-28 |
| 1750905485 | 303 Diagnostics, LLC | Clinical Medical Laboratory | 1805 S Bellaire St Ste 222, Denver, CO 80222-4313 | 2020-05-28 |
| 1801419387 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1030 Johnson Rd Ste 200, Golden, CO 80401-6007 | 2020-05-19 |
| 1639790835 | Bready Diagnostic Laboratory LLC | Clinical Medical Laboratory | 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 | 2020-04-29 |
| 1295354371 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 | 2020-04-09 |
| 1972138345 | University Physicians Incorporated | Clinical Medical Laboratory | 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 | 2020-03-06 |
| 1164054896 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 | 2020-02-11 |
| 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.