Columbine Management Services Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

COLUMBINE MANAGEMENT SERVICES INC

Practice address

802 W Drake Rd
Suite 101
Fort Collins, CO 80526-5558

Phone

(970) 482-0198

Fax

(970) 482-9148

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Barry K Fancher

Title

Cfo/Coo

Phone

(970) 482-0198

Specialties & licenses 5

Addresses

Other names 1

• Columbine Health Systems Doing business as

Locations

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1386989200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W DRAKE RD",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265558",
            "telephone_number": "970-482-0198",
            "fax_number": "970-482-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W DRAKE RD",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265558",
            "telephone_number": "970-482-0198",
            "fax_number": "970-482-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "970-482-0198"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbine Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado State University
• Colorado State University Hartshorn Health Service
• Garrett Colton
• Keith Colton, LCSW, MSW
• Columbine Care Center West Inc.
• Columbine Medical Equipment Inc
• Columbine Poudre Home Care, LLC
• Columbine Poudre Home Care, LLC
• Columbine West Health and Rehab LLC
• Columbine Women'S Clinic

• Adult Health Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.