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BOULDER COMMUNITY HEALTH NPI 1073393807


NPI Information

NPI: 1073393807
Provider Name: BOULDER COMMUNITY HEALTH

Doing Business As: COMMUNITY MEDICAL ASSOC OF BCH

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2101 KEN PRATT BLVD STE 104G
LONGMONT, CO
ZIP 80501
Phone: (303) 415-4246
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BOULDER COMMUNITY HEALTH is a primary care clinic center in Longmont, CO. BOULDER COMMUNITY HEALTH NPI is 1073393807. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Assoc Of Bch.

The provider's business location address is:

2101 KEN PRATT BLVD STE 104G
LONGMONT, CO
ZIP 80501-568
Phone: (303) 415-4246
Fax: (303) 415-8407

The provider's authorized official is William A Munson .
The authorized official title is Vp, Cfp and has the following contact phone number (303) 485-7433.

The enumeration date for this NPI number is 9/29/2023 and was last updated on 1/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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