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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