BOULDER COMMUNITY HEALTH NPI 1588319263

NPI Information

BOULDER COMMUNITY HEALTH is a primary care clinic center in Boulder, CO. BOULDER COMMUNITY HEALTH NPI is 1588319263. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Assoc Of B.c.h..

The provider's business location address is:

1645 BROADWAY
BOULDER, CO
ZIP 80302-218
Phone: (303) 415-8900
Fax: (303) 443-6476

The provider's authorized official is William A Munson .
The authorized official title is Vp, Cfp and has the following contact phone number (303) 485-7433.

The CLIA number assigned to this NPI record is 06D1042299 - other - aids service organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2022 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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