Vcphcs X, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Fort Collins, CO
NPI 1972056547 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1972056547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 1597-05 (CO)
- Legal business name
- VCPHCS X, LLC
- Practice address
- 2114 Midpoint Dr
Suite 4
Fort Collins, CO 80525 - Phone
- (970) 372-3144
- Fax
- (970) 482-1921
- NPI assigned
- Jul 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Other NPIs on the same Medicare enrollment 3
Practitioners 21
-
Theresa Anne Brinton, FNP-BC
-
Jennifer A Fischer, RN, APN, FNP-BC
-
Jenna Danielle Lowstuter, DNP, FNP-C, PMHNP
-
Joseph McDonald, NP-C
-
Taylour Munro, DO
-
Leslie Allene Newton, MSN, APRN, FNP-C
-
Linh Nguyen, MD
-
Sharon A Pendlebury, LCSW
-
Tony Ray Potter, PA-C
-
Erin Slocum, FNP-C
-
Laura KG Sommerschield, FNP-C
-
Lauran Wirfs, DO
-
Jeffrey Alan Harmon, PA-C
-
Natasha K Moore, DO
-
Sara Lorenz Taki I, M.D.
-
Matthew E Perdue, MD
-
Jean Thomas, PA
-
Mohammed Zubair, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151020000700 | CO | Part B Supplier - Clinic/Group Practice | 9931418696 |
Receives reassigned benefits from 19 practitioners 3 other NPIs on this enrollment Practice locations: Fort Collins, CO; Longmont, CO |
| O20200107000050 | CO | Part B Supplier - Opioid Treatment Program (Otp) | 9931418696 |
1 other NPI on this enrollment Practice locations: Fort Collins, CO; Longmont, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1597-05 | CO | |
| Methadone Clinic | 261QM2800X | 1597-05 | CO | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 1597-05 | CO | Yes |
Addresses
Primary practice location
2114 Midpoint Dr
Suite 4
Fort Collins, CO 80525
Mailing address
5001 Spring Valley Rd
Suite 600 East
Dallas, TX 75244-3946
Phone (214) 365-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44973365 | Medicaid | CO |
Other names
- BHG Fort Collins Treatment Center
Other providers in Fort Collins, CO
- Kolby C Vaughan
- Cindy J Vaughn
- David Darrell Vaughn
- Tyler Creighton Vaughn
- Vcphcs X LLC
- Erin Vegter
- Nicholas Veintimilla
- Carlos Andres Velasco
- Stephen Eduard Velasco
- Geraldine Velasquez
All providers in Fort Collins, CO · Substance Use Disorder Rehabilitation Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.