Poudre Infusion Therapy Llc

LBN: Poudre Infusion Therapy Llc
Poudre Infusion Therapy Llc is an health care organization with primary practice located at 915 Centre Ave Suite 3, Fort Collins CO 80526-6045. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Poudre Infusion Therapy Llc can be contacted via phone (970) 494-2130, or through Fancher, Barry Kent via phone (970) 482-0198.

Contact Information

Primary practice address
915 Centre Ave Suite 3 Fort Collins CO 80526-6045
Phone: (970) 494-2130
Fax: (970) 494-2131
Website:
Map and Directions
Authorized official contact:
Name: Fancher, Barry Kent
Phone: (970) 482-0198

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 440000021 Colorado
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 440000021
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 440000021 Colorado
Suppliers / Specialty Pharmacy 3336S0011X 440000021 Colorado

Profile Details

NPI number 1912909987
LBN Legal business name Poudre Infusion Therapy Llc
DBA Doing business as
Authorized official Fancher, Barry Kent
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 28th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912909987 NPPES
Colorado MEDICAID 90204247

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