FORT COLLINS OUTPATIENT (NPI# 1043545288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043545288 |
| Entity Type | Organization |
| Organization Name | FORT COLLINS OUTPATIENT |
| Practice Address |
212 W Mountain Ave Fort Collins CO 80521-2711 |
| Mailing Address |
525 W Oak St Fort Collins CO 80521-2612 |
| Practice Telephone | 9704944300 |
| Practice Fax Number | 9704944301 |
| Mailing Telephone | 9704944300 |
| Mailing Fax Number | 9704944301 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | JOHN C RATTLE (CFO) |
| Authorized Official Telephone | 9703472120 |
| Is Organization Subpart | Y |
| Parent Organization Name | LARIMER CENTER FOR MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1632-02 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 54550076 | 05 | |
| CO | ADAD | 1632-02 | 01 |
| Street Address |
212 W MOUNTAIN AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1447219449 | Summitstone Health Partners | Clinic/Center | 125 Crestridge St, Fort Collins, CO 80525-3934 | 2006-03-20 |
| 1164041364 | Summitstone Health Partners | Clinic/Center | 4102 S Timberline Rd, Fort Collins, CO 80525-6033 | 2020-04-09 |
| 1447714357 | Summitstone Health Partners | Clinic/Center | 4102 S Timberline Rd, Fort Collins, CO 80525-6033 | 2019-01-24 |
| 1447768833 | Summitstone Health Partners | Clinic/Center | 5080 Fossil Blvd, Fort Collins, CO 80525-4034 | 2018-01-19 |
| 1982112371 | Summitstone Health Partners | Clinic/Center | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2018-01-19 |
| 1013424845 | Summitstone Health Partners | Clinic/Center | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2018-01-02 |
| 1568979391 | Summitstone Health Partners | Clinic/Center | 242 Conifer St, Fort Collins, CO 80524-2043 | 2018-01-02 |
| 1922559947 | Summitstone Health Partners | Clinic/Center | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2016-10-14 |
| 1235599721 | Summitstone Health Partners | Clinic/Center | 2001 S Shields St Ste G, Fort Collins, CO 80526-1834 | 2016-02-26 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on FORT COLLINS OUTPATIENT.
| 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.