| Boulder Community Health | |
|
2101 Ken Pratt Blvd Ste 104h Longmont CO 80501-6568 | |
| (303) 442-2395 | |
| Not Available |
| Full Name | Boulder Community Health |
|---|---|
| Speciality | Clinic/center |
| Location | 2101 Ken Pratt Blvd Ste 104h, Longmont, Colorado |
| Authorized Official Name and Position | Jay Pekarek (REIMBURSEMENT SPECIALIST) |
| Authorized Official Contact | 3034154233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Community Health 4747 Arapahoe Ave Boulder CO 80303-1131 Ph: (303) 415-4700 | Boulder Community Health 2101 Ken Pratt Blvd Ste 104h Longmont CO 80501-6568 Ph: (303) 442-2395 |
| NPI Number | 1700485372 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700485372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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