# PLATTE VALLEY MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Platte Valley Clinic - Nurse Midwives
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417574393
- **Legal business name:** BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** JON MCDANIEL (VP FINANCE OPERATIONS)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 1606 PRAIRIE CENTER PKWY STE 210, BRIGHTON, CO 80601-4004
- **Practice address phone:** (303) 318-2229
- **Practice address fax:** (720) 501-6701
- **Mailing address:** 1606 PRAIRIE CENTER PKWY STE 210, BRIGHTON, CO 80601-4004
- **Mailing address phone:** (303) 318-2229
- **Mailing address fax:** (720) 501-6701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2020
- **Last updated:** 10/17/2023
