POUDRE INFUSION THERAPY LLC NPI 1912909987

NPI Information

  • NPI: 1912909987
  • Provider Name: POUDRE INFUSION THERAPY LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 915 CENTRE AVE
    SUITE 3
    FORT COLLINS, CO
    ZIP 80526
  • Phone: (970) 494-2130

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NPI Details

POUDRE INFUSION THERAPY LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Fort Collins, CO. POUDRE INFUSION THERAPY LLC NPI is 1912909987. The provider is registered as an organization entity type.

The provider's business location address is:

915 CENTRE AVE
SUITE 3
FORT COLLINS, CO
ZIP 80526-045
Phone: (970) 494-2130
Fax: (970) 494-2131

The provider's authorized official is Barry Kent Fancher .
The authorized official title is Cfo/coo and has the following contact phone number (970) 482-0198.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 2/28/2017.

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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition440000021COLORADONo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition440000021Yes
33336H0001XPharmacyHome Infusion Therapy Pharmacy440000021COLORADONo
43336S0011XPharmacySpecialty Pharmacy440000021COLORADONo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
190204247MEDICAIDCOLORADO
2COB4272MEDICARE PINCOLORADO
31912909987MEDICARE UPIN
43788750001MEDICARE NSC
53877850001MEDICARE NSCCOLORADO
6COB4272MEDICARE PIN

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: 11/21/2025

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