Organization · Type 2 NPI

Boulder Community Health

Medical Specialty Clinic/Center · Longmont, CO

NPI number 1760038541 Active

Practice location

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

Call (303) 415-8800 Map

Fax (303) 415-8801

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).

Other medical specialty clinic/center providers in Longmont

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NPI record

NPI: 1760038541
Entity type: Organization (Type 2)
Issued: Aug 16, 2019
Last updated: Dec 16, 2025
Status: Active
Subpart: Yes of Boulder Community Health

Other names

<unavail>
Community Medical Assoc of B.c.h. · doing business as
Associated Neurologist at F.i.m. · other name
Associated Neurologist at F.i.m. · other name
Associated Neurologist of BCH at Longmont · 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.

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About NPI 1760038541

Boulder Community Health's National Provider Identifier is 1760038541, issued on Aug 16, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Longmont, CO. The record was last updated on Dec 16, 2025.