Organization · Type 2 NPI

Boulder Community Health

Medical Specialty Clinic/Center · Lafayette, CO

NPI number 1922655422 Active

Practice location

1000 W South Boulder Rd Ste 216
Lafayette, CO 80026-2089

Call (303) 442-2395 Map

Fax (303) 442-1073

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).

Another provider at this address

Kimberly North, NPNurse Practitioner Lafayette, CO NPI 1144707506

Other medical specialty clinic/center providers in Lafayette

See all in Lafayette →

NPI record

NPI: 1922655422
Entity type: Organization (Type 2)
Issued: Aug 20, 2019
Last updated: Jul 5, 2022
Status: Active
Subpart: Yes of Boulder Community Health

Other names

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Community Medical Assoc of B.c.h. · doing business as
Boulder Heart Lafayette · other name
Boulder Heart Lafayette · 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 1922655422

Boulder Community Health's National Provider Identifier is 1922655422, issued on Aug 20, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Lafayette, CO. The record was last updated on Jul 5, 2022.