Organization · NPI-2

Boulder Community Health

Clinic/Center, Mental Health (Including Community Mental Health Center) · Longmont, CO

NPI number1619832334
StatusActive
Last updated in NPPESDec 16, 2025

Details

NPI
1619832334
Entity type
Organization (NPI-2)
Legal business name
Boulder Community Health
Organization subpart
Yes
Enumeration date
Dec 16, 2025
Certification date
Dec 16, 2025
Last updated
Dec 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Community Medical Associates Of Bch (Doing Business As)
  • Behavioral Health Specialists Of Bch At Longmont (Other Name)

Practice location

2101 Ken Pratt Blvd Ste 104t
Longmont, CO 80501-6568

Phone 303-415-4299 · Fax 303-441-2202

Mailing address

Po Box 9049
Boulder, CO 80301-9049

Phone 303-415-4101 · Fax 303-415-4769

Authorized official

William A Munson
Vp/Cfo
3034857433

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