NPIMap

Organization Active NPI

Poudre Valley Health Care,Inc

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1891837738
Registry record updated Mar 12, 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 114
Fort Collins, CO 80524-3250
Phone
(970) 495-8800
Fax
(970) 495-8820
NPI assigned
Feb 13, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
POUDRE VALLEY HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 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
Clinic/Center 261Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

1025 Pennock PL Ste 114
Fort Collins, CO 80524-3250

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other identifiers 1

IdentifierTypeStateIssuer
04151049MedicaidCO

Other names 1

  • POUDRE VALLEY HOSPITAL FAMILY MEDICINE CLINIC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

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
O20040720000291 CO Part A Provider - Hospital 7618880709 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Collins, CO; Windsor, CO; Greeley, CO; Aurora, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891837738. Details of each certification follow.

Hospital certification: CCN 060010

Legal name
POUDRE VALLEY HEALTH CARE INC
Doing business as
POUDRE VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 2, 2024
Beds
255
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 1, 1994 (1 total)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1994 in CO
Enrollment address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 15

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

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Poudre Valley HospitalCCN 060010 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Fort Collins Family Med

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David C Thompson Individual Corporate OfficerCfo/Authorized Official Jul 22, 2019
W-2 Managing EmployeeCfo Jul 22, 2019
Lisa K Clay Individual Corporate DirectorPVHS Board Member Nov 6, 2016
David C Osborn Individual Corporate Director Jul 1, 2013
Theresa K Pena Individual Corporate DirectorDirector Oct 13, 2021
Donald M Elliman Individual Corporate DirectorUch Board Member Jul 1, 2015
Laura Steele Individual Corporate DirectorBoard Member Sep 24, 2007
Richard L Monfort Individual Corporate OfficerChairman of the Board Jul 1, 2013
Todd N Hofheins Individual Corporate OfficerCfo Jun 23, 2025
W-2 Managing EmployeeCfo Jun 23, 2025
James Parke Individual Corporate Director Nov 6, 2016
John P McKay Individual Corporate Director Mar 20, 2024
University of Colorado Health Organization, Aurora, CO Corporation, Non-profit, Chain home office Operational/Managerial Control Jul 1, 2013
Richard Dellenbach Individual Corporate DirectorBoard Member Jun 23, 2010
Todd Whitsitt Individual Corporate DirectorBoard Member Jul 1, 2013
Michael Long Individual Corporate Director Feb 26, 2019
Raymond T Baker Individual Corporate DirectorBoard Member Uch Mar 1, 2015
Kevin L Unger Individual Corporate OfficerPresident and Ceo Sep 27, 2007
W-2 Managing EmployeePresident and Ceo Sep 24, 2007
Christine Chin Individual Corporate DirectorBoard Member May 26, 2010
John Bradley Oldemeyer Individual Corporate Director Nov 15, 2022
Hasan Faraz Naqvi Individual Corporate Director Oct 1, 2023
John Sampson Individual Corporate Director Jul 1, 2024
Douglas J Erion Individual Corporate DirectorPVHS Board Member Jan 15, 2017
Daniel Stroh Individual Corporate Director Sep 24, 2007
Elizabeth B Concordia Individual Corporate OfficerPresident & Ceo Uchealth Sep 17, 2014
April D Jones Individual Corporate DirectorDirector Oct 27, 2020
Dennis Houska Individual Corporate DirectorBoard Member Jan 23, 2013

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 384

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.

View all 384

Affiliated clinicians 1,411

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,411

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1891837738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PENNOCK PL STE 114",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243250",
            "telephone_number": "970-495-8800",
            "fax_number": "970-495-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE VALLEY HEALTH CARE,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POUDRE VALLEY HEALTH CARE, INC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04151049",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POUDRE VALLEY HOSPITAL FAMILY MEDICINE CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "POUDRE VALLEY HOSPITAL FAMILY MEDICINE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.