Organization Active NPI

Poudre Vallley Rental Company LLC

  • Radiation Oncology Clinic/Center
  • Lafayette, CO
National Provider Identifier
1043507353
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
POUDRE VALLLEY RENTAL COMPANY LLC
Practice address
120 Old Laramie TRL E
Lafayette, CO 80026-7012
Phone
(303) 926-9800
Fax
(303) 926-9801
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles Kelley Simpson, M.D.
Title
Medical Director
Phone
(303) 926-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

120 Old Laramie TRL E
Lafayette, CO 80026-7012

Mailing address

120 Old Laramie TRL E
Lafayette, CO 80026-7012
Phone (303) 926-9800

National Provider Directory

National Provider Directory

Locations

120 Old Laramie Trl
Lafayette, CO 80026
Phone (303) 444-0840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1043507353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE VALLLEY RENTAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-926-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.