Organization
POUDRE VALLEY HEALTH CARE, INC
Active
Parent organization
POUDRE VALLEY HEALTH CARE INC
Other names
Poudre Valley Hospital Family Medicine Center Walk In Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY HEALTH CARE INC
Authorized official
DAVID THOMPSON (CFO)
(970) 495-7000
Entity
Organization
Contact information
Practice address
1025 PENNOCK PL STE 121, FORT COLLINS, CO 80524-3250
(970) 495-8980
Mailing address
7901 E LOWRY BLVD, MAIL STOP F402, DENVER, CO 80230-6507
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40486061
—
CO
Enumeration date
08/11/2010
Last updated
03/12/2025
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