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NPI Code Detail

MEDICARE: POUDRE VALLEY HEALTH CARE INC.

MEDICARE: POUDRE VALLEY HEALTH CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QP2000XPhysical Therapy Clinic/Center
3282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1093374092
Entity Type Code : Organization
Provider Name (Legal Business Name) : POUDRE VALLEY HEALTH CARE INC.
Provider Business Mailing Address
First Line : 7901 E LOWRY BLVD MS F402
Second Line :
City : DENVER
State : CO
Zip : 80230-6507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4262
Country : US
Telephone Number : 970-495-8780
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID THOMPSON
Credential :
Telephone Number : 970-495-7000
Provider Enumeration Date : 06/12/2019
Last Update Date : 04/06/2026

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Directions to “POUDRE VALLEY HEALTH CARE INC. ” Practice Location

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