1225610389 NPI number — POUDRE VALLEY HEALTH CARE INC.

Table of content: (NPI 1225610389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225610389 NPI number — POUDRE VALLEY HEALTH CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
POUDRE VALLEY HEALTH CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225610389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7901 E LOWRY BLVD # F402
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80230-6507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-329-9754
Provider Business Mailing Address Fax Number:
844-691-1657

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1713 QUENTIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80045-7136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-329-9754
Provider Business Practice Location Address Fax Number:
844-691-1657
Provider Enumeration Date:
04/27/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CONCORDIA
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT/CEO, UCHEALTH
Authorized Official Telephone Number:
970-329-9754

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com