POUDRE VALLEY HEALTH CARE INC. (NPI# 1215332762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215332762 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY HEALTH CARE INC. |
| Other Organization Name | POUDRE VALLEY HOSPITAL |
| Practice Address |
4601 Corbett Dr Fort Collins CO 80528-9579 |
| Mailing Address |
7901 E Lowry Blvd F402, 3rd Floor Denver CO 80230-6507 |
| Practice Telephone | 9702074800 |
| Mailing Telephone | 7205531700 |
| Mailing Fax Number | 7205531754 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | MR. CHRISTOPHER DANIEL RIEBER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7208487836 |
| Is Organization Subpart | Y |
| Parent Organization Name | POUDRE VALLEY HEALTH CARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | CO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MIDLANDS CHOICE | H188 | 01 |
| WY | 1192523-00 | 05 | |
| CO | STATE FARM | 618515 | 01 |
| CO | 81933762 | 05 | |
| CO | TRICARE WPS | B001 | 01 |
| CO | MEDICAID RTCF | 86373251 | 01 |
| CO | 06060123 | 05 | |
| CO | 05010004 | 05 | |
| CO | AMERICA'S HEALTH PLAN | 6160355 | 01 |
| CO | WORLD INSURANCE | 75276 | 01 |
| CO | BLUE CROSS COLORADO | 00025PO | 01 |
| CO | AETNA | 0694280 | 01 |
| CO | GOV EMPLOYEE HOSPITAL ASSOCIATION | 44054 | 01 |
| CO | RAILROAD MEDICARE | DE0901 | 01 |
| CO | MEDICARE PART B | D8004 | 01 |
| Other Name | Type Code |
|---|---|
| Poudre Valley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588285068 | Poudre Valley Health Care Inc. | Clinic/Center | 1330 Oakridge Dr Unit 100, Fort Collins, CO 80525-9651 | 2020-05-06 |
| 1073172094 | Poudre Valley Health Care Inc. | Clinic/Center | 2127 E Harmony Rd Ste 100, Fort Collins, CO 80528-3406 | 2019-06-12 |
| 1558920561 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 200, Fort Collins, CO 80528-3401 | 2019-06-12 |
| 1467011619 | Poudre Valley Health Care Inc. | Clinic/Center | 1455 Main St Ste 130, Windsor, CO 80550-5559 | 2019-06-11 |
| 1891332367 | Poudre Valley Health Care Inc. | General Acute Care Hospital | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2019-12-04 |
| 1093374001 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 150, Fort Collins, CO 80528-3413 | 2019-06-12 |
| 1093374092 | Poudre Valley Health Care Inc. | Clinic/Center | 1500 S Lemay Ave, Fort Collins, CO 80524-4262 | 2019-06-12 |
| 1184283103 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 160, Fort Collins, CO 80528-3413 | 2019-06-12 |
| 1922667187 | Poudre Valley Health Care Inc. | Clinic/Center | 1675 18th Ave Ste 3, Greeley, CO 80631-5151 | 2019-06-11 |
| 1477112639 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-06-11 |
| Street Address |
4601 CORBETT DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-9579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063400851 | Richard R Whittlesey | Psychologist | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2005-10-06 |
| 1114543493 | Dylan Brown | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2020-06-22 |
| 1952872921 | Jonathan F Heilman | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2018-12-16 |
| 1376042457 | Corie Helms | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2018-02-05 |
| 1891234860 | Lorenza Perez Frias | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2017-02-23 |
| 1992177596 | Mountain Crest Behavioral Health Hospital | Psychiatric Hospital | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2015-10-22 |
| 1881093607 | Michelle Miranda | Nurse Practitioner | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2014-08-18 |
| 1336486760 | Elizabeth Sutphin | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2013-01-04 |
| 1043526072 | Laurie Verde | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2010-08-27 |
| 1760711857 | Jennifer Hall | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2009-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700174588 | Terri Eilene Light | Psychiatric Unit | 9235 W Hinsdale Pl, Littleton, CO 80128-4165 | 2011-07-14 |
| 1750509840 | Phc-fort Morgan, Inc. | Psychiatric Unit | 1000 Lincoln Street, Fort Morgan, CO 80701-3210 | 2007-04-23 |
| 1760595086 | Boulder Community Health | Psychiatric Unit | 4801 Riverbend Rd, Boulder, CO 80301-2613 | 2006-08-17 |
| 1477592566 | Hca Healthone LLC | Psychiatric Unit | 700 S. Potomac Street, Aurora, CO 80011-6844 | 2006-06-05 |
| 1629053731 | Scl Health Front Range Inc | Psychiatric Unit | 3400 Lutheran Pkwy, Wheat Ridge, CO 80033-6035 | 2005-12-12 |
| 1902463243 | Mckee Medical Center | Psychiatric Unit | 2000 Boise Ave, Loveland, CO 80538-5006 | 2019-05-22 |
| 1609210509 | Csm Counseling LLC | Psychiatric Unit | 9255 W Alameda Ave, Unit E, Lakewood, CO 80226-2802 | 2013-04-22 |
| 1962637181 | Ncmc Behavioral Health | Psychiatric Unit | 928 12th St, Greeley, CO 80631-4024 | 2009-05-18 |
| 1144346800 | University of Colorado Hospital Authority | Psychiatric Unit | 12605 East 16th Avenue, Aurora, CO 80045 | 2007-03-22 |
| 1235262593 | Colorado Mental Health Institute Fort Logan | Psychiatric Unit | 1600 W 24th St, Pueblo, CO 81003-1411 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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| 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.