Organization
POUDRE INFUSION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE KATE HAGEMAN (REVENUE CYCLE DIRECTOR)
(970) 494-2130
Entity
Organization
Contact information
Practice address
915 CENTRE AVE, FORT COLLINS, CO 80526-6045
(970) 494-2130
(970) 494-9815
Mailing address
915 CENTRE AVE, FORT COLLINS, CO 80526-6045
(970) 494-2130
(970) 494-9815
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
07/10/2026
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