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PLATEAU VALLEY HOSPITAL DISTRICT NPI 1609990928


NPI Information

NPI: 1609990928
Provider Name: PLATEAU VALLEY HOSPITAL DISTRICT

Doing Business As: PLATEAU VALLEY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0695278

Address:
58128 HIGHWAY 330
COLLBRAN, CO
ZIP 81624
Phone: (970) 487-3565
Get Directions

PLATEAU VALLEY HOSPITAL DISTRICT is a family medicine in Collbran, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PLATEAU VALLEY HOSPITAL DISTRICT NPI is 1609990928. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Plateau Valley Medical Clinic.

The provider's business location address is:

58128 HIGHWAY 330
COLLBRAN, CO
ZIP 81624-502
Phone: (970) 487-3565

The provider's authorized official is Jessie Clark .
The authorized official title is Administrator and has the following contact phone number (970) 487-3565.

The CLIA number assigned to this NPI record is 06D0695278 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PLR3408OTHERCOLORADOBLUE CROSS BLUE SHIELD
204703047MEDICAIDCONNECTICUT
304703047MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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