PVHS-ICM HEALTH AND WELLNESS, LLC (NPI# 1023562030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023562030 |
| Entity Type | Organization |
| Organization Name | PVHS-ICM HEALTH AND WELLNESS, LLC |
| Other Organization Name | WOODWARD |
| Practice Address |
3702 Automation Way Suite 103 Fort Collins CO 80525-5737 |
| Practice Telephone | 9704956201 |
| Mailing Telephone | 9704956201 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | DR. JAMES SPROWELL (MD) |
| Authorized Official Telephone | 9704956201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodward | Other Name - Individual/Organization |
| Street Address |
3702 AUTOMATION WAY SUITE 103 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-5737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275996274 | Susan Jeffers | Anesthesiology | 3702 Automation Way, Fort Collins, CO 80525-5737 | 2016-03-29 |
| 1760013668 | Donald Mccrary | Nurse Anesthetist, Certified Registered | 3702 Automation Way, Fort Collins, CO 80525-5737 | 2020-01-29 |
| 1902450091 | Brittany Palgen | Registered Nurse | 3702 Automation Way, Fort Collins, CO 80525-5737 | 2019-07-28 |
| 1346714854 | Richard Wayne Husfeld II | Registered Nurse | 3702 Automation Way, Fort Collins, CO 80525-5737 | 2019-01-17 |
| 1447709183 | Pvhs-icm Health and Wellness | Clinic/Center | 3702 Automation Way, Suite 103, Fort Collins, CO 80525-5737 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1952938045 | Vitality Medical Center | Clinic/Center | 3534 John F Kennedy Pkwy Ste B, Fort Collins, CO 80525-2668 | 2020-03-26 |
| 1689174245 | Dena Simmons, D.c., LLC | Clinic/Center | 105 Coronado Ct Ste B-102, Fort Collins, CO 80525-4924 | 2018-02-20 |
| 1568826550 | Schorsch Speech & Language | Clinic/Center | 204 Maple St Unit 406, Fort Collins, CO 80521-2080 | 2016-04-06 |
| 1750785036 | Practical Health Solutions, LLC | Clinic/Center | 310 E Elizabeth St, Fort Collins, CO 80524-3706 | 2014-10-15 |
| 1306145925 | Enlightenment Nutrition Consulting | Clinic/Center | 3131 Conestoga Ct, Fort Collins, CO 80526-2715 | 2011-03-22 |
| 1912052523 | Gregory A. Vosseteig P.C. | Clinic/Center | 2100 W Drake Rd, Suite 6, Fort Collins, CO 80526-1400 | 2007-01-24 |
| 1528156437 | Colorado State University | Clinic/Center | 8301 Campus Delivery, Fort Collins, CO 80523-8031 | 2006-10-10 |
| 1043329998 | Jan Hester Md PC | Clinic/Center | 1120 E Elizabeth #g1, Fort Collins, CO 80524 | 2006-08-30 |
| 1992335061 | Poudre Valley Medical Group, LLC | Clinic/Center | 1500 S Lemay Ave, Fort Collins, CO 80524-4262 | 2020-01-17 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on PVHS-ICM HEALTH AND WELLNESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.