Organization · Type 2 NPI

Boulder Community Health

Medical Specialty Clinic/Center · Boulder, CO

NPI number 1073160420 Active

Practice location

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128

Call (303) 443-2123 Map

Fax (303) 443-9497

Mailing address

PO Box 9049
Boulder, CO 80301-9049

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

22 other providers at this address

Other medical specialty clinic/center providers in Boulder

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NPI record

NPI: 1073160420
Entity type: Organization (Type 2)
Issued: Aug 21, 2019
Last updated: Oct 7, 2026
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
Boulder Valley Surgical Associates of B.c.h. · other name

Authorized official

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

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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.

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About NPI 1073160420

Boulder Community Health's National Provider Identifier is 1073160420, issued on Aug 21, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Boulder, CO. The record was last updated on Oct 7, 2026.