Poudre Valley Hospital Family Medicine Clinic
LBN: Poudre Valley Health Care,Inc
Poudre Valley Hospital Family Medicine Clinic is an health care organization with primary practice located at 1025 Pennock Pl Ste 114 , Fort Collins CO 80524-3257. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Poudre Valley Health Care,Inc can be contacted via phone (970) 495-8800, or through Thompson, David via phone (970) 495-7000.
Contact Information
Primary practice address
1025 Pennock Pl Ste 114
Fort Collins CO 80524-3257
Phone: (970) 495-8800
Fax: (970) 495-8820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
| NPI number | 1891837738 |
|---|---|
| LBN Legal business name | Poudre Valley Health Care,Inc |
| DBA Doing business as | Poudre Valley Hospital Family Medicine Clinic |
| Authorized official | Thompson, David |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Feb 22nd, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891837738 | NPPES |
| Wyoming | MEDICAID | 1192523-00 | |
| Wyoming | MEDICAID | 04151049 |
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