Organization · Type 2 NPI

Boulder Community Health

Primary Care Clinic/Center · Longmont, CO

NPI number 1073393807 Active

Practice location

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

Call (303) 415-4246 Map

Fax (303) 415-8407

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...

2 other providers at this address

Elizabeth S. Lycett, MDInternal Medicine Physician Longmont, CO NPI 1427373810
Emilie Martel-RousseauAdult Health Nurse Practitioner Longmont, CO NPI 1912783895

Other primary care clinic/center providers in Longmont

See all in Longmont →

NPI record

NPI: 1073393807
Entity type: Organization (Type 2)
Issued: Sep 29, 2023
Last updated: Jan 8, 2024
Status: Active
Subpart: Yes of Boulder Community Health

Other names

<unavail>
Community Medical Assoc of BCH · doing business as
Community Medical Assoc of BCH · doing business as
Geriatric Medicine of BCH @ Longmont · other name

Authorized official

William A Munson
VP, CFP
(303) 485-7433

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.

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About NPI 1073393807

Boulder Community Health's National Provider Identifier is 1073393807, issued on Sep 29, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Longmont, CO. The record was last updated on Jan 8, 2024.