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POUDRE VALLEY INTERNISTS PC
NPI 1417993916
Specialist in Fort Collins, CO

Active since June 22, 2006
4674 SNOW MESA DR, STE 100, FORT COLLINS, CO 80528(970) 482-3712(970) 482-4057 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poudre Valley Internists Pc NPPES

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

POUDRE VALLEY INTERNISTS PC (NPI 1417993916) is a healthcare organization registered as a specialist in Fort Collins, Colorado and active in the NPI registry since June 2006. The organization lists Melissa Mccann-stoeckle, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1417993916
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePOUDRE VALLEY INTERNISTS PC
Location Address4674 SNOW MESA DR, STE 100Fort Collins, CO 80528-8615
Mailing Address4674 Snow Mesa Dr, Suite 100Fort Collins, CO 80528-8615 · (970) 482-3712 · Fax (970) 482-4057
Phone(970) 482-3712
Fax(970) 482-4057
Organization SubpartNo
Authorized OfficialMelissa Mccann-stoeckleBilling Manager · (970) 482-3712
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 1, 2009
✔ NPI 1417993916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4674 SNOW MESA DR, Fort Collins, CO 80528
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Other Identifiers 6

Medicare ID-Type UnspecifiedA8908CO
Other06D0911568CO · Clia
Medicaid117631500WY
Medicaid10025031400NE
Medicare ID-Type UnspecifiedCH9273CO · Railroad
Medicaid05675839CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DESIREE BLAIRE BUKOVSKY P.T., DPT
Physical Therapist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Larimer County (970) 266-3850
VALERIE WEBB L.M.T.
Massage Therapist
4674 SNOW MESA DR, SUITE 200
FORT COLLINS, CO 80528
Larimer County (970) 495-8450
KARA LEAH DITULLIO PA C
Physician Assistant
4674 SNOW MESA DR, SUITE140
FORT COLLINS, CO 80528
Larimer County (970) 482-0213
KEVIN O'CONNELL MD, MPH
Preventive Medicine (Occupational Medicine)
4674 SNOW MESA DR, STE 200
FORT COLLINS, CO 80528
Larimer County (970) 495-7450
TRACEY STEFANON DO
Preventive Medicine (Occupational Medicine)
4674 SNOW MESA DR, SUITE 200
FORT COLLINS, CO 80528
Larimer County (970) 495-8450
BENDER MEDICAL GROUP
Social Worker (Clinical)
4674 SNOW MESA DR, STE 140
FORT COLLINS, CO 80528
Larimer County (970) 482-0213
ALEXANDRA M SKOGEN PA
Physician Assistant (Medical)
4674 SNOW MESA DR, STE 140
FORT COLLINS, CO 80528
Larimer County (970) 482-0213
DR. JENNIFER M HENDRICK MD
Internal Medicine
4674 SNOW MESA DR, SUITE 100
FORT COLLINS, CO 80528
Larimer County (970) 482-3712

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 Poudre Valley Internists PC's NPI number?

The NPI number for Poudre Valley Internists PC is 1417993916. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Poudre Valley Internists PC located?

Poudre Valley Internists PC is located at 4674 Snow Mesa Dr Ste 100, Fort Collins, CO 80528. The listed phone number is (970) 482-3712.

What is Poudre Valley Internists PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Internists PC was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.