Organization
POUDRE VALLEY HEALTH CARE,INC
Active
Parent organization
POUDRE VALLEY HEALTH CARE, INC
Other names
POUDRE VALLEY HOSPITAL FAMILY MEDICINE 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 114, FORT COLLINS, CO 80524-3250
(970) 495-8800
(970) 495-8820
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04151049
—
CO
Enumeration date
02/13/2007
Last updated
03/12/2025
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