# POUDRE VALLEY HEALTH CARE,INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POUDRE VALLEY HEALTH CARE, INC
- **Other names:** POUDRE VALLEY HOSPITAL FAMILY MEDICINE CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891837738
- **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 114, FORT COLLINS, CO 80524-3250
- **Practice address phone:** (970) 495-8800
- **Practice address fax:** (970) 495-8820
- **Mailing address:** 2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 03/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04151049 | — | CO |