# BOULDER COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER COMMUNITY HEALTH
- **Other names:** Boulder Community Health Wound Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922659044
- **Legal business name:** BOULDER COMMUNITY HEALTH
- **Authorized official:** WILLIAM A MUNSON JR. (VP, CFO)
- **Authorized official phone:** (303) 415-7433

## Contact information

- **Practice address:** 4880 RIVERBEND RD STE 100, BOULDER, CO 80301-2622
- **Practice address phone:** (303) 415-8880
- **Practice address fax:** (303) 415-8888
- **Mailing address:** 5450 WESTERN AVE, BOULDER, CO 80301-2709
- **Mailing address phone:** (303) 415-8880
- **Mailing address fax:** (303) 415-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 09/20/2019
