NPIMap

Boulder Community Health

Organization Active NPI Clinic/Center · Longmont, CO

NPI 1700485372 · NPPES record last updated Oct 23, 2020

Key facts

NPI
1700485372
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
BOULDER COMMUNITY HEALTH
Practice address
2101 Ken Pratt Blvd Ste 104H
Longmont, CO 80501-6568
Phone
(303) 442-2395
NPI assigned
Oct 23, 2020
Organization subpart
Yes
Parent organization (as reported)
BOULDER COMMUNITY HEALTH

Authorized official

Name
Jay Pekarek
Title
Reimbursement Specialist
Phone
(303) 415-4233

Corporate family (same tax ID) 24

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

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
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

2101 Ken Pratt Blvd Ste 104H
Longmont, CO 80501-6568

Mailing address

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-4700

Other names

  • Boulder Heart of Longmont Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2020.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1700485372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031131",
            "telephone_number": "303-415-4700",
            "fax_number": "303-415-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 KEN PRATT BLVD STE 104H",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016568",
            "telephone_number": "303-442-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER COMMUNITY HEALTH",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "PEKAREK",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALIST",
        "authorized_official_telephone_number": "303-415-4233"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Heart of Longmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

All providers in Longmont, CO · Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.