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Boulder Community Health

Organization Active NPI Medical Specialty Clinic/Center · Boulder, CO

NPI 1407685498 · NPPES record last updated Jul 29, 2024

Key facts

NPI
1407685498
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
Legal business name
BOULDER COMMUNITY HEALTH
Practice address
4747 Arapahoe Ave # 1N
Boulder, CO 80303-1131
Phone
(303) 415-7610
NPI assigned
Jul 29, 2024
Organization subpart
Yes
Parent organization (as reported)
BOULDER COMMUNITY HEALTH

Authorized official

Name
William A Munson Jr.
Title
VP, Cfo
Phone
(303) 485-7433

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 393

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 393

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040123000284 CO Part B Supplier - Clinic/Group Practice 6800707233 Receives reassigned benefits from 316 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Erie, CO; Superior, CO; Longmont, CO; Lafayette, CO; Boulder, CO

National Provider Directory

Tax ID family
Michael Vongortler MD (82 organizations share this tax ID)
Part of
Michael Vongortler MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Yes

Addresses

Primary practice location

4747 Arapahoe Ave # 1N
Boulder, CO 80303-1131

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-7610

Other names

  • Community Medical Associates of BCH Doing business as
  • Palliative Care Services of BCH Other name

Other providers in Boulder, CO

All providers in Boulder, CO · Medical Specialty Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.