POUDRE VALLEY OPEN MRI, LLC; NPI #1023065844

Contact Information

POUDRE VALLEY OPEN MRI, LLC

2420 E PROSPECT RD
FORT COLLINS, CO 80525-9729

Phone: 970-493-0567
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Magnetic Resonance Imaging (MRI)	261QM1200X
Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for POUDRE VALLEY OPEN MRI, LLC

NPI # 1023065844

LBN Legal business name POUDRE VALLEY OPEN MRI, LLC

Authorized official MICHAEL BELICK - (C.E.O.)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2006

Last updated 07/14/2008 - About 18 years ago

Identifiers

CO	Medicaid	81833237
CO	Other	P00080903	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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