Poudre Valley Internists Pc

LBN: Poudre Valley Internists Pc
Poudre Valley Internists Pc is an health care organization with primary practice located at 4674 Snow Mesa Dr Ste 100, Fort Collins CO 80528-8615. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Poudre Valley Internists Pc can be contacted via phone (970) 482-3712, or through Mccann-Stoeckle, Melissa via phone (970) 482-3712.

Contact Information

Primary practice address
4674 Snow Mesa Dr Ste 100 Fort Collins CO 80528-8615
Phone: (970) 482-3712
Fax: (970) 482-4057
Website:
Map and Directions
Authorized official contact:
Name: Mccann-Stoeckle, Melissa
Phone: (970) 482-3712

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417993916
LBN Legal business name Poudre Valley Internists Pc
DBA Doing business as
Authorized official Mccann-Stoeckle, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated May 1st, 2009 - about 15 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 1417993916 NPPES
Colorado Other 06D0911568 CLIA
Colorado MEDICAID 10025031400 CLIA
Colorado MEDICAID 117631500 CLIA
Colorado MEDICAID 05675839 CLIA

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