Organization · Type 2 NPI

Boulder Community Health

Primary Care Clinic/Center · Superior, CO

NPI number 1053967869 Active

Practice location

3 Superior Dr Ste 100B
Superior, CO 80027-8653

Call (303) 415-8940 Map

Fax (303) 425-9259

Mailing address

PO Box 9049
Boulder, CO 80301-9049

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

5 other providers at this address

Other primary care clinic/center providers in Superior

Northwest Family MedicinePrimary Care Clinic/Center Superior, CO NPI 1720084635

See all in Superior →

NPI record

NPI: 1053967869
Entity type: Organization (Type 2)
Issued: Aug 16, 2019
Last updated: Jun 29, 2022
Status: Active
Subpart: Yes of Boulder Community Health

Other names

<unavail>
Community Medical Assoc of B.c.h. · doing business as
Community Medical Assoc of B.c.h. · doing business as
Northwest Family Medicine · other name

Authorized official

William A Munson
VP, CFO
(303) 415-7433

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1053967869

Boulder Community Health's National Provider Identifier is 1053967869, issued on Aug 16, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Superior, CO. The record was last updated on Jun 29, 2022.