# PLATTE VALLEY MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Intermountain Health Platte Valley Hospital - Wound Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922812593
- **Legal business name:** BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** JON MCDANIEL (VP FINANCE)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 1606 PRAIRIE CENTER PKWY STE 140, BRIGHTON, CO 80601-4004
- **Practice address phone:** (303) 498-3030
- **Practice address fax:** (303) 498-3029
- **Mailing address:** 500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
- **Mailing address phone:** (303) 272-0566
- **Mailing address fax:** (303) 272-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2025
- **Last updated:** 02/04/2025