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Organization

BOULDER COMMUNITY HEALTH

Active
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Organization

BOULDER COMMUNITY HEALTH

Active
Parent organization
THE COMMUNITY HOSPITAL ASSOCIATION
Other names
BOULDER COMMUNITY HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE COMMUNITY HOSPITAL ASSOCIATION
Authorized official
CONNIE M LUCERO (CREDENTIALING COORDINATOR)
(303) 415-4770
Entity
Organization

Contact information

Practice address
1000 W SOUTH BOULDER RD STE 220, LAFAYETTE, CO 80026-2089
(303) 415-4340
(303) 604-4662
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-4340
(303) 604-4662

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
12/28/2006
Last updated
04/22/2019
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