Boulder Community Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOULDER COMMUNITY HEALTH

Doing business as

Community Medical Assoc of B C H

Practice address

5495 Arapahoe Ave Ste 200
Boulder, CO 80303-1225

Phone

(303) 415-4249

Fax

(303) 415-5249

NPI assigned

Aug 16, 2019

Last updated

Jul 5, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BOULDER COMMUNITY HEALTHAs reported in NPPES

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

Addresses

Other names 2

• Community Medical Assoc of B C H Doing business as
• Wellness Center of B C H Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Part of

BCH Physician Clinics

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1982250775",
    "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": "303-415-4249",
            "fax_number": "303-415-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 ARAPAHOE AVE STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031225",
            "telephone_number": "303-415-4249",
            "fax_number": "303-415-5249"
        }
    ],
    "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": "2022-07-05",
        "certification_date": "2022-07-05",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Assoc of B C H",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Medical Assoc of B C H",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Center of B C H",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Boulder Community Health (Community Medical Assoc of BCH)
• Boulder Community Health
• Boulder Community Health (Community Medical Assoc of BCH)
• Boulder Community Health (Gunbarrel Medical Center Lab)
• Boulder Community Health (Community Medical Assoc of B.C.H.)
• Boulder Community Health Sports Medicine Imaging LLC
• Boulder Community Hospital
• Boulder Community Musculoskeletal Surgery Center, LLC (Boulder Surgery Center)
• Boulder County Colorado (Boulder County Housing and Human Services - IMPACT Division CHRP)
• Boulder County Colorado (Boulder County Housing and Human Services IMPACT HFW)

• Primary Care Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.