# BOULDER COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER COMMUNITY HEALTH
- **Other names:** Community Medical Assoc of B.C.H., Center for Mind Body Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306493879
- **Legal business name:** BOULDER COMMUNITY HEALTH
- **Authorized official:** WILLIAM A MUNSON JR. (VP,CFO)
- **Authorized official phone:** (303) 415-7433

## Contact information

- **Practice address:** 4801 RIVERBEND RD STE 120B, BOULDER, CO 80301-2613
- **Practice address phone:** (303) 415-8615
- **Practice address fax:** (303) 293-0628
- **Mailing address:** PO BOX 9049, BOULDER, CO 80301-9049
- **Mailing address phone:** (303) 415-8615
- **Mailing address fax:** (303) 293-0628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 06/29/2022
