# BOULDER COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER COMMUNITY HEALTH
- **Other names:** Boulder Heart of Longmont
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700485372
- **Legal business name:** BOULDER COMMUNITY HEALTH
- **Authorized official:** JAY PEKAREK (REIMBURSEMENT SPECIALIST)
- **Authorized official phone:** (303) 415-4233

## Contact information

- **Practice address:** 2101 KEN PRATT BLVD STE 104H, LONGMONT, CO 80501-6568
- **Practice address phone:** (303) 442-2395
- **Mailing address:** 4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
- **Mailing address phone:** (303) 415-4700
- **Mailing address fax:** (303) 415-4701

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2020
- **Last updated:** 10/23/2020