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NPI Code Detail

MEDICARE: BOULDER COMMUNITY HEALTH

MEDICARE: BOULDER COMMUNITY HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1528923240
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOULDER COMMUNITY HEALTH
Provider Business Mailing Address
First Line : PO BOX 9049
Second Line :
City : BOULDER
State : CO
Zip : 80301-9049
Country : US
Telephone Number : 303-415-4101
Fax Number : 303-415-4769
Provider Business Practice Location Address
First Line : 1755 48TH ST STE 200T
Second Line :
City : BOULDER
State : CO
Zip : 80301-2711
Country : US
Telephone Number : 303-415-4299
Fax Number : 303-441-2202
Authorized Official
Title or Position : VP/CFO
Name : WILLIAM A MUNSON JR.
Credential :
Telephone Number : 303-485-7433
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/31/2025

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Directions to “BOULDER COMMUNITY HEALTH ” Practice Location

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