Organization Active NPI

Western Healthcare Network

  • General Practice Physician
  • Fort Collins, CO
National Provider Identifier
1417284050
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WESTERN HEALTHCARE NETWORK
Practice address
2809 E Harmony Rd
Suite #100
Fort Collins, CO 80528-3109
Phone
(303) 339-7192
Fax
(970) 416-9676
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Charles Sisson, M.D.
Title
Medical Director
Phone
(303) 339-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2809 E Harmony Rd
Suite #100
Fort Collins, CO 80528-3109

Mailing address

PO Box 271160
Fort Collins, CO 80527-1160
Phone (303) 339-7192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1417284050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271160",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805271160",
            "telephone_number": "303-339-7192",
            "fax_number": "970-416-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 E HARMONY RD",
            "address_2": "SUITE #100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283109",
            "telephone_number": "303-339-7192",
            "fax_number": "970-416-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "SISSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-339-7192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Nov 3, 2009; 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.