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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
1261QI0500XInfusion Therapy Clinic/Center
2282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1477112639
Entity Type Code : Organization
Provider Name (Legal Business Name) : POUDRE VALLEY HEALTH CARE INC.
Provider Business Mailing Address
First Line : 7901 E. LOWRY BLVD
Second Line : F402, 3RD FLOOR
City : DENVER
State : CO
Zip : 80230
Country : US
Telephone Number : 970-329-9754
Fax Number : 844-691-1657
Provider Business Practice Location Address
First Line : 2121 E HARMONY RD UNIT 170
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3413
Country : US
Telephone Number : 970-329-9754
Fax Number : 844-691-1657
Authorized Official
Title or Position : PRESIDENT/CEO, UCHEALTH
Name : ELIZABETH B CONCORDIA
Credential :
Telephone Number : 970-329-9754
Provider Enumeration Date : 06/11/2019
Last Update Date : 07/09/2025

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