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WIND RIVER PAIN MANAGEMENT, LLC
NPI 1104992296
Clinic/Center - Pain in Fort Collins, CO

Active since November 28, 2006
5873 HIGHLAND HILLS CIR, FORT COLLINS, CO 80528(970) 420-9904 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wind River Pain Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIND RIVER PAIN MANAGEMENT, LLC (NPI 1104992296) is a healthcare organization registered as a pain in Fort Collins, Colorado and active in the NPI registry since November 2006. The organization lists James Alan Derrisaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104992296
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameWIND RIVER PAIN MANAGEMENT, LLC
Location Address5873 HIGHLAND HILLS CIRFort Collins, CO 80528-8941
Mailing Address5873 Highland Hills CirFort Collins, CO 80528-8941 · (970) 420-9904
Phone(970) 420-9904
Organization SubpartNo
Authorized OfficialJames Alan DerrisawCeo · (970) 420-9904
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104992296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in CO · 39525
5873 HIGHLAND HILLS CIR, Fort Collins, CO 80528
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wind River Pain Management, LLC's NPI number?

The NPI number for Wind River Pain Management, LLC is 1104992296. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Wind River Pain Management, LLC located?

Wind River Pain Management, LLC is located at 5873 Highland Hills Cir, Fort Collins, CO 80528. The listed phone number is (970) 420-9904.

What is Wind River Pain Management, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Wind River Pain Management, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.