FRONTIER INTERNAL MEDICINE
NPI 1083260715
Clinic/Center - Primary Care in Longmont, CO

Active since August 19, 2019CLIA 06D0515719 · Waiver
2101 KEN PRATT BLVD STE 104A, LONGMONT, CO 80501(303) 415-4155(303) 776-3109 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2023, Jan 14, 2020, Aug 19, 2019 (3 updates tracked since 2019).

About Frontier Internal Medicine NPPES

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

FRONTIER INTERNAL MEDICINE (NPI 1083260715), doing business as Community Medical Assoc Of Bch, is a healthcare organization registered as a primary care in Longmont, Colorado and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists William A Munson, Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083260715
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOULDER COMMUNITY HEALTH
Location Address2101 KEN PRATT BLVD STE 104ALongmont, CO 80501-6568
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-4155 · Fax (303) 776-3109
Fax(303) 776-3109
Organization SubpartYes
Authorized OfficialWilliam A MunsonVp, Cfo · (303) 415-7433
Enumeration DateAugust 19, 2019
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1083260715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2101 KEN PRATT BLVD STE 104A, Longmont, CO 80501

Other Names 2

Other NameFrontier Internal Medicine
Doing Business AsCommunity Medical Assoc Of Bch

CLIA Laboratory Certificates CMS CLIA

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 Waiver 06D0515719

Frontier Internal Medicine · Longmont, CO
Active · expires Apr 10, 2027
CLIA Number06D0515719
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Jason Smouse
Laboratory Phone(303) 415-4156
Laboratory LocationFrontier Internal Medicine2101 Ken Pratt Blvd, Ste 104, Longmont, CO 80501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
2101 KEN PRATT BLVD STE 104A
LONGMONT, CO 80501
Internal Medicine
2101 KEN PRATT BLVD STE 104A
LONGMONT, CO 80501
Family Medicine
2101 KEN PRATT BLVD STE 104A
LONGMONT, CO 80501
Nurse Practitioner (Adult Health)
2101 KEN PRATT BLVD STE 104A
LONGMONT, CO 80501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulder Community Health's NPI number?

The NPI number for Boulder Community Health is 1083260715. It was assigned to this organization in the NPPES registry on August 19, 2019. The provider is doing business as Community Medical Assoc of BCH. The provider is also known as Frontier Internal Medicine.

Where is Boulder Community Health located?

Boulder Community Health is located at 2101 Ken Pratt Blvd Ste 104A, Longmont, CO 80501. The listed phone number is (303) 415-4155.

What is Boulder Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Boulder Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0515719) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boulder Community Health was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.