PLATEAU VALLEY MEDICAL CLINIC
NPI 1609990928
Family Medicine in Collbran, CO

Active since March 19, 2007CLIA 06D0695278 · Microscopy
58128 HIGHWAY 330, COLLBRAN, CO 81624(970) 487-3565 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plateau Valley Medical Clinic NPPES

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

PLATEAU VALLEY MEDICAL CLINIC (NPI 1609990928) is a healthcare organization registered as a family medicine in Collbran, Colorado and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jessie Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609990928
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLATEAU VALLEY HOSPITAL DISTRICT
Location Address58128 HIGHWAY 330Collbran, CO 81624-9502
Mailing Address58128 Highway 330Collbran, CO 81624-9502 · (970) 487-3565
Organization SubpartNo
Authorized OfficialJessie ClarkAdministrator · (970) 487-3565
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1609990928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
58128 HIGHWAY 330, Collbran, CO 81624

Other Names 1

Doing Business AsPlateau Valley Medical Clinic

Other Identifiers 3

OtherPLR3408CO · Blue Cross Blue Shield
Medicaid04703047CT
Medicaid04703047CO

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0695278

Plateau Valley Clinic · Collbran, CO
Active · expires Aug 31, 2026
CLIA Number06D0695278
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorErika Woodyard
Laboratory Phone(970) 487-3565
Laboratory LocationPlateau Valley Clinic58128 Hwy 330, Collbran, CO 81624
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

Family Medicine (Adult Medicine)
58128 HIGHWAY 330
COLLBRAN, CO 81624
Family Medicine
58128 HIGHWAY 330
COLLBRAN, CO 81624
Nurse Practitioner (Family)
58128 HIGHWAY 330
COLLBRAN, CO 81624
Nurse Practitioner (Primary Care)
58128 HIGHWAY 330
COLLBRAN, CO 81624
Family Medicine
58128 HIGHWAY 330
COLLBRAN, CO 81624
Family Medicine
58128 HIGHWAY 330
COLLBRAN, CO 81624

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 Plateau Valley Hospital District's NPI number?

The NPI number for Plateau Valley Hospital District is 1609990928. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Plateau Valley Medical Clinic.

Where is Plateau Valley Hospital District located?

Plateau Valley Hospital District is located at 58128 Highway 330, Collbran, CO 81624. The listed phone number is (970) 487-3565.

What is Plateau Valley Hospital District's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Plateau Valley Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0695278) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plateau Valley Hospital District was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.