NPIMap

Organization Active NPI

Hartshorn Health Service

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1235562117
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0832 Issued in CO
Legal business name
HARTSHORN HEALTH SERVICE
Practice address
8301 Campus Delivery
Fort Collins, CO 80523-8031
Phone
(970) 491-7121
Fax
(970) 491-0226
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Mr. Stephen Blom, MBA
Title
Director
Phone
(970) 491-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0832 CO Primary

Addresses

Primary practice location

8301 Campus Delivery
Fort Collins, CO 80523-8031

Mailing address

8301 Campus Delivery
Fort Collins, CO 80523-8031
Phone (970) 491-7121

National Provider Directory

National Provider Directory
Tax ID family
Student Health Service7 organizations share this tax ID, including this one
Part of
Student Health Service

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8301 Campus Delivery
Fort Collins, CO 80523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1235562117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 CAMPUS DELIVERY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238031",
            "telephone_number": "970-491-7121",
            "fax_number": "970-491-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 CAMPUS DELIVERY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238031",
            "telephone_number": "970-491-7121",
            "fax_number": "970-491-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSHORN HEALTH SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO STATE UNIVERSITY",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-491-1470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "0832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.