Boulder Community Health
Organization Active NPI Urgent Care Clinic/Center · Superior, CO
NPI 1730735531 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1730735531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- BOULDER COMMUNITY HEALTH
- Practice address
- 3 Superior Dr Ste 100a
Superior, CO 80027-8653 - Phone
- (303) 415-5255
- Fax
- (303) 415-5256
- NPI assigned
- Aug 16, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- BOULDER COMMUNITY HEALTH
Authorized official
- Name
- William A Munson Jr.
- Title
- VP,Cfo
- Phone
- (303) 415-8800
Owners & managing parties with NPI records 5
-
Alyssa Snow Carlson, M.D.
Other NPIs on the same Medicare enrollment 33
Related certifications (CCN) 1
Practitioners 3
-
Lisa M Balduf, MD
-
Nina Vergari Rogers, M.D.
Affiliated clinicians 720
-
Tara Adams, MSPAS, PA-C
-
Elizabeth Alaimo, DO
-
Kacie Lynne Albertsen, DNP, APRN
-
Ann Marie Albright, FNP-C
-
Jeska Albuisson, M.D.
-
Carl Kelly Aldin, MD
-
Leann Alland, DPM
-
Dawn E Ammon, PA
-
Maria T Anderson, MD
-
Karen M Andrews, MD
-
Jose Angel, MD
-
Kevin Arnold, M.D.
-
Erin Kathleen Atkinson, ARNP
-
Heather Baer, MD
-
Sarah M Bair, M.D.
Medicare Care Compare: Hospital
- Listed as
- Boulder Community Health
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
Hospital certification: CCN 060027
- Legal name
- BOULDER COMMUNITY HEALTH
- Doing business as
- BOULDER COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 16, 2024
- Beds
- 181
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 4747 Arapahoe Ave
Boulder, CO 80303-1131 - Hospital subgroups
- General
All disclosed owners & managing parties 26
| Name | Role | Since | Share |
|---|---|---|---|
| Perla Delgado |
Corporate Officer |
Jan 1, 2024 | |
| Robert Yates |
Corporate Officer |
Jan 1, 2024 | |
| Phillip P Distefano |
Corporate Officer |
Jan 1, 2017 | |
| Grant Besser |
Corporate Officer |
Oct 17, 2016 | |
| W-2 Managing Employee |
Oct 17, 2016 | ||
| Alyssa S Carlson |
Corporate Officer |
Nov 2, 2025 | |
| W-2 Managing Employee |
Nov 2, 2025 | ||
| George Karakehian |
Corporate Officer |
Jan 1, 2017 | |
| Elizabeth Cook |
Corporate Officer |
Jan 1, 2024 | |
| Susan Connelly |
Corporate Officer |
Jan 1, 2023 | |
| Lawrence Novissimo |
Corporate Officer |
Jul 4, 2021 | |
| W-2 Managing Employee |
Jul 4, 2021 | ||
| William a Munson |
Corporate Officer |
Mar 18, 2008 | |
| W-2 Managing Employee |
Mar 16, 2008 | ||
| Diana Verrilli |
Corporate Officer |
Jan 1, 2024 | |
| Jay Pekarek |
W-2 Managing Employee |
Nov 21, 2012 | |
| Teresa Cole |
Corporate Officer |
Jun 16, 2024 | |
| W-2 Managing Employee |
Jun 16, 2024 | ||
| Robert J Vissers |
Corporate Officer |
Jan 1, 2017 | |
| W-2 Managing Employee |
Jan 1, 2017 | ||
| John T Greff |
Corporate Officer |
Jan 1, 2018 | |
| Doug Abel |
Corporate Officer |
Jan 1, 2024 | |
| Valerie E Lipetz |
Corporate Officer |
Jan 1, 2024 | |
| Boulder Community Health |
Other | Jul 1, 1966 | |
| Joel R Montbriand |
Corporate Officer |
Jan 1, 2024 | |
| John Fleagle |
Corporate Officer |
Jan 1, 2024 | |
| Deborah S Lund |
Corporate Officer |
Jan 1, 2018 | |
| Jackie Attlesey-Pries |
Corporate Officer |
Sep 6, 2011 | |
| W-2 Managing Employee |
Sep 6, 2011 | ||
| Chris Hazlitt |
Corporate Officer |
Jan 1, 2024 | |
| Mardi Moore |
5% Or Greater Direct Ownership Interest |
Jan 1, 2019 | |
| Corporate Officer |
Jan 1, 2024 | ||
| Sarah E Meshak |
Corporate Officer |
Aug 31, 2009 | |
| W-2 Managing Employee |
Aug 31, 2009 | ||
| Nancy Stevens |
5% Or Greater Direct Ownership Interest |
Jan 1, 2019 | |
| Corporate Officer |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030902000042 | CO | Part a Provider - Hospital | 6800707233 |
34 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| 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
- Part of
- Michael Vongortler MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
3 Superior Dr Ste 100a
Superior, CO 80027-8653
Mailing address
PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-5255
Other names
- Community Medical Assoc of B.C.H.
- BCH Urgent Care Superior
Other providers in Superior, CO
- Cynthia L Bogacki
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Strength PT, LLC
- Ashley Brooke Branfort
All providers in Superior, CO · Urgent Care Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.