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General NPI Number Information
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NPI Number | 1114586278
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Entity Type | Organization
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Legal Business Name | POUDRE VALLEY HEALTH CARE INC.
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4630 SNOW MESA DR
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City | FORT COLLINS
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State | CO
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Zip | 80528-8508
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Country | US
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Telephone | 970-329-9754
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Fax | 844-691-1657
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Provider Business Mailing Address
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Address Line | 7901 E LOWRY BLVD MAIL STOP F402
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City | DENVER
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State | CO
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Zip | 80230-6507
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Country | US
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Telephone | 970-329-9754
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Fax | 844-691-1657
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Authorized Official
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Title or Position | PRESIDENT/CEO, UCHEALTH
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Name | ELIZABETH B CONCORDIA
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Credential |
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Telephone | 970-329-9754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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