Organization · Type 2 NPI

Boulder Community Health

Clinic/Center · Boulder, CO

NPI number 1306493879 Active

Practice location

4801 Riverbend Rd Ste 120B
Boulder, CO 80301-2613

Call (303) 415-8615 Map

Fax (303) 293-0628

Mailing address

PO Box 9049
Boulder, CO 80301-9049

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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NPI record

NPI: 1306493879
Entity type: Organization (Type 2)
Issued: Aug 20, 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
Center for Mind Body Medicine · 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 1306493879

Boulder Community Health's National Provider Identifier is 1306493879, issued on Aug 20, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Boulder, CO. The record was last updated on Jun 29, 2022.