# BOULDER COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER COMMUNITY HEALTH
- **Other names:** Erie Outpatient Pediatric Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447908595
- **Legal business name:** BOULDER COMMUNITY HEALTH
- **Authorized official:** WILLIAM A MUNSON (VICE PRESIDENT FINANCE/CFO)
- **Authorized official phone:** (303) 485-7433

## Contact information

- **Practice address:** 101 ERIE PKWY STE 104, ERIE, CO 80516-4071
- **Practice address phone:** (303) 415-4450
- **Mailing address:** 4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
- **Mailing address phone:** (303) 415-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 03/16/2022
