NPIMap

Organization Active NPI

Poudre Valley Health Care Inc.

  • Adult Mental Health Clinic/Center
  • Windsor, CO
National Provider Identifier
1326615592
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
POUDRE VALLEY HEALTH CARE INC.
Practice address
1455 Main St Ste 100
Windsor, CO 80550-5559
Phone
(970) 207-4857
NPI assigned
Jun 7, 2021
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
POUDRE VALLEY HEALTH CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
David Thompson
Title
Cfo, Northern Co
Phone
(970) 495-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1455 Main St Ste 100
Windsor, CO 80550-5559

Mailing address

7901 E Lowry Blvd
Mail Stop F402
Denver, CO 80230-6507

Other names 1

  • UCHealth Mountain Crest Behavioral Health - Windsor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000791 CO Part B Supplier - Clinic/Group Practice 7618880709 Receives reassigned benefits from 160 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Collins, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Fort Collins Family Med

Locations

1025 Pennock Pl
Ste 121
Fort Collins, CO 80524
Phone (970) 495-8800

1455 Main St
Ste 100
Windsor, CO 80550
Phone (970) 207-4857

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1326615592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E LOWRY BLVD",
            "address_2": "MAIL STOP F402",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST STE 100",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505559",
            "telephone_number": "970-207-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE VALLEY HEALTH CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POUDRE VALLEY HEALTH CARE INC.",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO, NORTHERN CO",
        "authorized_official_telephone_number": "970-495-7000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCHealth Mountain Crest Behavioral Health - Windsor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UCHealth Mountain Crest Behavioral Health - Windsor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.