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
1	341600000X	Ambulance
2	343800000X	Secured Medical Transport (VAN)
3	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1881232692
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 AUTOMATION DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-3142
Country	:	US
Telephone Number	:	720-597-0329
Fax Number	:	844-691-1657

Authorized Official
Title or Position	:	CFO
Name	:	DAVID THOMPSON
Credential	:
Telephone Number	:	970-495-7000

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	03/26/2026

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Directions to “POUDRE VALLEY HEALTH CARE INC ” Practice Location

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