| Poudre Valley Hospital Family Medicine Clinic | |
|
1025 Pennock Pl Ste 114 Fort Collins CO 80524-3257 | |
| (970) 495-8800 | |
| (970) 495-8820 |
| Full Name | Poudre Valley Hospital Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1025 Pennock Pl Ste 114, Fort Collins, Colorado |
| Authorized Official Name and Position | David Thompson (CFO) |
| Authorized Official Contact | 9704957000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poudre Valley Hospital Family Medicine Clinic 2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | Poudre Valley Hospital Family Medicine Clinic 1025 Pennock Pl Ste 114 Fort Collins CO 80524-3257 Ph: (970) 495-8800 |
| NPI Number | 1891837738 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891837738 | NPI | - | NPPES |
| 1192523-00 | Medicaid | WY | |
| 04151049 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Oak Park Dr, Fort Collins, CO 80525 Phone: 970-267-9510 | |
Alpenglow Medical Prof. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Robertson St, Fort Collins, CO 80524 Phone: 970-482-3820 Fax: 970-482-4942 | |
Woodward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Automation Way, Suite 103, Fort Collins, CO 80525 Phone: 970-495-6201 | |
Starlight Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 W Drake Rd, Fort Collins, CO 80526 Phone: 970-632-0135 | |
Jan Hester Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 E Elizabeth #g1, Fort Collins, CO 80524 Phone: 970-493-2776 Fax: 970-493-2772 | |
Lifestyle Medicine At Miramont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 S College Ave, Unit 300, Fort Collins, CO 80525 Phone: 970-237-6339 Fax: 970-482-2091 | |
J. David Cranor Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2105 Bighorn Dr., #102, Fort Collins, CO 80525 Phone: 970-226-6000 Fax: 970-226-6007 |