NPIMap

Organization Active NPI

Poudre Valley Health Care Inc

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1528859618
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
POUDRE VALLEY HEALTH CARE INC
Practice address
1025 Pennock PL Ste 115
Fort Collins, CO 80524-3250
Phone
(970) 495-8800
NPI assigned
May 16, 2025
Organization subpart
Yes
Parent organization
POUDRE VALLEY HEALTH CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1025 Pennock PL Ste 115
Fort Collins, CO 80524-3250

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Fort Collins Fiamily Me21 organizations share this tax ID, including this one
Part of
Fort Collins Fiamily Me

Other organizations with this tax ID 20

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

View all 20

Locations

1025 Pennock Pl
Ste 115
Fort Collins, CO 80524
Phone (970) 495-8800

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1528859618",
    "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": "1025 PENNOCK PL STE 115",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243250",
            "telephone_number": "970-495-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE VALLEY HEALTH CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POUDRE VALLEY HEALTH CARE INC",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-495-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 May 16, 2025; 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.