# POUDRE VALLEY HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POUDRE VALLEY HEALTH CARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528859618
- **Legal business name:** POUDRE VALLEY HEALTH CARE INC
- **Authorized official:** DAVID THOMPSON (CFO)
- **Authorized official phone:** (970) 495-7000

## Contact information

- **Practice address:** 1025 PENNOCK PL STE 115, FORT COLLINS, CO 80524-3250
- **Practice address phone:** (970) 495-8800
- **Mailing address:** 7901 E LOWRY BLVD, MAIL STOP F402, DENVER, CO 80230-6507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2025
- **Last updated:** 05/16/2025