National Provider Identifier Database

POUDRE VALLEY HEALTH CARE INC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

POUDRE VALLEY HEALTH CARE, INC
1025 PENNOCK PL STE 121
FORT COLLINS, CO80524-3250
Phone: 970-495-8980
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Ambulatory Family Planning Facility 261QA0005X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for POUDRE VALLEY HEALTH CARE, INC

NPI Number 1144535444
Legal business name
LBN
POUDRE VALLEY HEALTH CARE, INC
Authorized official DAVID THOMPSON - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 08/11/2010
Last updated 03/12/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 40486061

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for POUDRE VALLEY HEALTH CARE, INC

There are currently no reviews for POUDRE VALLEY HEALTH CARE, INC


NPIdb - Home
v2.201