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BOULDER COMMUNITY HEALTH NPI 1760038541


NPI Information

NPI: 1760038541
Provider Name: BOULDER COMMUNITY HEALTH

Other Name: ASSOCIATED NEUROLOGIST AT F.I.M.

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2101 KEN PRATT BLVD STE 104C
LONGMONT, CO
ZIP 80501
Phone: (303) 415-8800
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BOULDER COMMUNITY HEALTH is a medical specialty clinic center in Longmont, CO. The provider is 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). BOULDER COMMUNITY HEALTH NPI is 1760038541. The provider is registered as an organization entity type.
The provider Other Name Is Associated Neurologist At F.i.m..

The provider's business location address is:

2101 KEN PRATT BLVD STE 104C
LONGMONT, CO
ZIP 80501-568
Phone: (303) 415-8800
Fax: (303) 415-8801

The provider's authorized official is William A Munson .
The authorized official title is Vp, Cfo and has the following contact phone number (303) 415-7433.

The enumeration date for this NPI number is 8/16/2019 and was last updated on 7/5/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.