# VMD PRIMARY PROVIDERS COLORADO, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VMD PRIMARY PROVIDERS COLORADO, INC
- **Other names:** Village Medical - South College
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073219242
- **Legal business name:** VMD PRIMARY PROVIDERS COLORADO, INC
- **Authorized official:** REBECCA RAGER (SENIOR DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (844) 969-0686

## Contact information

- **Practice address:** 2614 S COLLEGE AVE, FORT COLLINS, CO 80525-2138
- **Practice address phone:** (970) 224-1670
- **Mailing address:** PO BOX 32517, BELFAST, ME 04915-0218
- **Mailing address phone:** (844) 969-0686
- **Mailing address fax:** (866) 825-4869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 04/04/2025