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FOUNTAIN VALLEY HEALTH CARE LLC NPI 1851170856


NPI Information

NPI: 1851170856
Provider Name: FOUNTAIN VALLEY HEALTH CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1520 VERDE DR
COLORADO SPRINGS, CO
ZIP 80910
Phone: (719) 653-7776
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FOUNTAIN VALLEY HEALTH CARE LLC is a primary care clinic center in Colorado Springs, CO. FOUNTAIN VALLEY HEALTH CARE LLC NPI is 1851170856. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1520 VERDE DR
COLORADO SPRINGS, CO
ZIP 80910-931
Phone: (719) 653-7776

The provider's authorized official is Jacquita Louise Jordan .
The authorized official title is Owner and has the following contact phone number (719) 653-7776.

The enumeration date for this NPI number is 9/27/2023 and was last updated on 9/27/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineNo
2363L00000XNurse PractitionerNo
3363LA2100XNurse PractitionerAcute CareNo
4363LF0000XNurse PractitionerFamilyNo
5261QP2300XClinic/CenterPrimary CareYes

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: 5/5/2024
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