COMMUNITY MEDICAL ASSOC OF B.C.H. – NPI #1972159788
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).

COMMUNITY MEDICAL ASSOC OF B.C.H. is an AHC clinic located in BOULDER, CO. NPPES has assigned the NPI number 1972159788 to COMMUNITY MEDICAL ASSOC OF B.C.H. on August 16, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY MEDICAL ASSOC OF B.C.H.” is a dba name, the actual legal business name for this organization is BOULDER COMMUNITY HEALTH. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 4 years ago on Jul 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY MEDICAL ASSOC OF B.C.H. below.

NPI Profile for
BOULDER COMMUNITY HEALTH

NPI Number
1972159788
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOULDER COMMUNITY HEALTH
Doing Business As (dba): COMMUNITY MEDICAL ASSOC OF B.C.H.
Other name(s)
All associated names:
Other Name
Boulder Heart
Doing Business As (dba)
COMMUNITY MEDICAL ASSOC OF B.C.H.
Primary location
4743 ARAPAHOE AVE STE 201
BOULDER, CO 80303-1128
Phone: (303) 442-2395 Fax: (303) 442-1073
Mailing address
PO BOX 9049
BOULDER, CO 80301-9049
Phone: (303) 442-2395 Fax: (303) 442-1073
Organization Subpart
Yes - COMMUNITY MEDICAL ASSOC OF B.C.H. is subpart of another organization.
Authorized Official
WILLIAM MUNSON
VP,CFO
Phone: (303) 415-7433
Updated
Certification Date
Jul 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.