Organization Active NPI

Boulder Community Health

Doing business as Community Medical Assoc of BCH

  • Occupational Medicine Clinic/Center
  • Lafayette, CO
National Provider Identifier
1356997159
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
BOULDER COMMUNITY HEALTH
Doing business as
Community Medical Assoc of BCH
Practice address
1000 W South Boulder Rd Ste 214
Lafayette, CO 80026-2089
Phone
(303) 415-4340
Fax
(303) 604-4662
NPI assigned
Aug 16, 2019
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BOULDER COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William A Munson Jr.
Title
VP, Cfo
Phone
(303) 415-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

1000 W South Boulder Rd Ste 214
Lafayette, CO 80026-2089

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4340

Other names 2

  • Community Medical Assoc of BCH Doing business as
  • Occupational Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
BCH Physician Clinics82 organizations share this tax ID, including this one
Part of
BCH Physician Clinics

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1000 W South Boulder Rd
Ste 214
Lafayette, CO 80026
Phone (303) 415-4325

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1356997159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-4340",
            "fax_number": "303-604-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD STE 214",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262089",
            "telephone_number": "303-415-4340",
            "fax_number": "303-604-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER COMMUNITY HEALTH",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "303-415-7433",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Assoc of BCH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Occupational Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.