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FORT COLLINS YOUTH CLINIC NPI 1154918308


NPI Information

NPI: 1154918308
Provider Name: FORT COLLINS YOUTH CLINIC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1214 OAK PARK DR
FORT COLLINS, CO
ZIP 80525
Phone: (970) 267-9510
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FORT COLLINS YOUTH CLINIC is a pediatrics in Fort Collins, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FORT COLLINS YOUTH CLINIC NPI is 1154918308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1214 OAK PARK DR
FORT COLLINS, CO
ZIP 80525-302
Phone: (970) 267-9510
Fax: (970) 207-9967

The provider's authorized official is Stephanie Fred .
The authorized official title is Executive Assistant and has the following contact phone number (970) 267-9510.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.


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
1208000000XPediatricsYes

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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