VCPHCS X, LLC (NPI# 1972056547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972056547 |
| Entity Type | Organization |
| Organization Name | VCPHCS X, LLC |
| Other Organization Name | BHG FORT COLLINS TREATMENT CENTER |
| Practice Address |
2114 Midpoint Dr Suite 4 Fort Collins CO 80525 |
| Mailing Address |
5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 |
| Practice Telephone | 9703723144 |
| Practice Fax Number | 9704821921 |
| Mailing Telephone | 2143656100 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING) |
| Authorized Official Telephone | 2143656126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1597-05 | CO | Ambulatory Health Care Facilities |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1597-05 | CO | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1597-05 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 44973365 | 05 |
| Other Name | Type Code |
|---|---|
| BHG Fort Collins Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073774667 | Vcphcs X, LLC | Clinic/Center | 850 23rd Ave, Unit A, Longmont, CO 80501 | 2008-06-17 |
| 1003359118 | Vcphcs X, LLC | General Practice | 850 23rd Ave, Unit A, Longmont, CO 80501-1114 | 2016-11-21 |
| 1568905677 | Vcphcs X, LLC | Clinic/Center | 850 23rd Ave Ste A, Longmont, CO 80501 | 2016-11-21 |
| Street Address |
2114 MIDPOINT DR SUITE 4 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780125419 | Shelly Delisi | Case Manager/Care Coordinator | 2114 Midpoint Dr, Suite 4, Fort Collins, CO 80525-4324 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1043545288 | Fort Collins Outpatient | Clinic/Center | 212 W Mountain Ave, Fort Collins, CO 80521-2711 | 2009-10-06 |
| 1447219449 | Summitstone Health Partners | Clinic/Center | 125 Crestridge St, Fort Collins, CO 80525-3934 | 2006-03-20 |
| 1164041364 | Summitstone Health Partners | Clinic/Center | 4102 S Timberline Rd, Fort Collins, CO 80525-6033 | 2020-04-09 |
| 1447714357 | Summitstone Health Partners | Clinic/Center | 4102 S Timberline Rd, Fort Collins, CO 80525-6033 | 2019-01-24 |
| 1447768833 | Summitstone Health Partners | Clinic/Center | 5080 Fossil Blvd, Fort Collins, CO 80525-4034 | 2018-01-19 |
| 1982112371 | Summitstone Health Partners | Clinic/Center | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2018-01-19 |
| 1013424845 | Summitstone Health Partners | Clinic/Center | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2018-01-02 |
| 1568979391 | Summitstone Health Partners | Clinic/Center | 242 Conifer St, Fort Collins, CO 80524-2043 | 2018-01-02 |
| 1922559947 | Summitstone Health Partners | Clinic/Center | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2016-10-14 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on VCPHCS X, LLC.
| 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.