Healthcare Provider Details

I. General information

NPI: 1679419808
Provider Name (Legal Business Name): POUDRE VALLEY HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 29TH ST SUITE 1.950
GREELEY CO
80634-5474
US

IV. Provider business mailing address

7901 E LOWRY BLVD MAIL STOP F402
DENVER CO
80230-6507
US

V. Phone/Fax

Practice location:
  • Phone: 970-652-2780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DAVID THOMPSON
Title or Position: CFO
Credential:
Phone: 970-495-7000