POUDRE VALLEY HEALTH CARE, INC (NPI# 1144535444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144535444 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY HEALTH CARE, INC |
| Other Organization Name | POUDRE VALLEY HOSPITAL FAMILY MEDICINE CENTER WALK IN CLINIC |
| Practice Address |
1025 Pennock Pl Suite 121 Fort Collins CO 80524-3257 |
| Mailing Address |
2315 E Harmony Rd Suite 200 Fort Collins CO 80528-8620 |
| Practice Telephone | 9704958980 |
| Practice Fax Number | 9704958988 |
| Mailing Telephone | 9702377000 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | CHRISTOPHER DANIEL RIEBER (SR. VP & CFO) |
| Authorized Official Telephone | 7208487836 |
| Is Organization Subpart | Y |
| Parent Organization Name | POUDRE VALLEY HEALTH CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 40486061 | 05 | |
| CO | MEDICARE RAILROAD | CD3123 | 01 |
| Other Name | Type Code |
|---|---|
| Poudre Valley Hospital Family Medicine Center Walk In Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124432828 | Poudre Valley Health Care, Inc | Family Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2014-06-20 |
| Street Address |
1025 PENNOCK PL SUITE 121 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347437 | Michelle Leigh Hilaire | Pharmacist | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2005-09-23 |
| 1861011660 | Emily Olivia Tallent | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2020-04-11 |
| 1952930216 | Molly Lynne Mclellan | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2020-04-07 |
| 1073142543 | Victoria E. Tschantz | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2020-04-06 |
| 1043848948 | Caleb Alexander Josephs | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2020-03-28 |
| 1205464252 | Todd Axel Mclaughlin | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2020-03-27 |
| 1801423801 | Brett Michael Weum | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2020-03-27 |
| 1457813636 | Daniel Eugene Edmondson | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2019-04-05 |
| 1538621560 | Travis Colt Mccubbin | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2019-03-31 |
| 1902367337 | Blake Volkmer | Student in an Organized Health Care Education/Training Program | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1952938045 | Vitality Medical Center | Clinic/Center | 3534 John F Kennedy Pkwy Ste B, Fort Collins, CO 80525-2668 | 2020-03-26 |
| 1689174245 | Dena Simmons, D.c., LLC | Clinic/Center | 105 Coronado Ct Ste B-102, Fort Collins, CO 80525-4924 | 2018-02-20 |
| 1568826550 | Schorsch Speech & Language | Clinic/Center | 204 Maple St Unit 406, Fort Collins, CO 80521-2080 | 2016-04-06 |
| 1750785036 | Practical Health Solutions, LLC | Clinic/Center | 310 E Elizabeth St, Fort Collins, CO 80524-3706 | 2014-10-15 |
| 1306145925 | Enlightenment Nutrition Consulting | Clinic/Center | 3131 Conestoga Ct, Fort Collins, CO 80526-2715 | 2011-03-22 |
| 1912052523 | Gregory A. Vosseteig P.C. | Clinic/Center | 2100 W Drake Rd, Suite 6, Fort Collins, CO 80526-1400 | 2007-01-24 |
| 1528156437 | Colorado State University | Clinic/Center | 8301 Campus Delivery, Fort Collins, CO 80523-8031 | 2006-10-10 |
| 1043329998 | Jan Hester Md PC | Clinic/Center | 1120 E Elizabeth #g1, Fort Collins, CO 80524 | 2006-08-30 |
| 1992335061 | Poudre Valley Medical Group, LLC | Clinic/Center | 1500 S Lemay Ave, Fort Collins, CO 80524-4262 | 2020-01-17 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.