COMMUNITY MEDICAL ASSOC OF BCH
NPI 1013564517
Clinic/Center - Primary Care in Boulder, CO

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

Active since August 20, 2019CLIA Certified · 2 labs

5495 ARAPAHOE AVE STE 100, BOULDER, CO 80303(303) 415-4250(303) 440-9629 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2020, Aug 20, 2019 (2 updates tracked since 2019).

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About Community Medical Assoc Of Bch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEDICAL ASSOC OF BCH (NPI 1013564517) is a healthcare organization registered as a primary care in Boulder, Colorado and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists William A Munson, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1013564517

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameBOULDER COMMUNITY HEALTH

Location Address5495 ARAPAHOE AVE STE 100Boulder, CO 80303-1224

Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-4250 · Fax (303) 440-9629

Phone(303) 415-4250

Fax(303) 440-9629

Organization SubpartYes

Authorized OfficialWilliam A MunsonVp/cfo · (303) 415-7433

Enumeration DateAugust 20, 2019

Last NPPES UpdateJune 29, 20222 updates tracked since enumeration

NPPES CertifiedJune 29, 2022

✔ NPI 1013564517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

5495 ARAPAHOE AVE STE 100, Boulder, CO 80303

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Other Names 2

Doing Business AsCommunity Medical Assoc Of Bch

Other NameInternal Medicine Associates Boulder

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 06D1013190

Boulder Community Health Foothills, Poc, Boulder Women's Care · Boulder, CO

Active · expires Jun 1, 2027

CLIA Number06D1013190

Laboratory TypeHospital

Certificate Effective DateJune 2, 2025

Certificate Expiration DateJune 1, 2027

Laboratory DirectorDr. Kevin W. Hanley

Laboratory Phone(720) 854-7711

Laboratory LocationBoulder Community Health Foothills, Poc, Boulder Women's Care4747 Arapahoe Ave, Boulder, CO 80303

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 06D1013191

Boulder Community Health Foothills Main Lab · Boulder, CO

Active · expires Oct 6, 2026

CLIA Number06D1013191

Laboratory TypeHospital

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorDr. Kevin W. Hanley

Laboratory Phone(303) 415-7700

Laboratory LocationBoulder Community Health Foothills Main Lab4747 Arapahoe Ave, Garden Level, Ste G20, Boulder, CO 80303

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 06D2206338

Boulder County Jail · Boulder, CO

Active · expires Dec 17, 2026

CLIA Number06D2206338

Laboratory TypePrison

Certificate Effective DateDecember 18, 2024

Certificate Expiration DateDecember 17, 2026

Laboratory DirectorMelanie J. Dreiling

Laboratory Phone(303) 441-4657

Laboratory LocationBoulder County Jail3200 Airport Road, Boulder, CO 80301

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN D HOERLER M.D.

Internal Medicine