FORT LUPTON CLINIC
NPI 1881218519
Family Medicine in Fort Lupton, CO

Q: What is Platte Valley Medical Group, LLC's NPI number?

The NPI number for Platte Valley Medical Group, LLC is 1881218519. It was assigned to this organization in the NPPES registry on May 28, 2020. The provider is doing business as Fort Lupton Clinic.

Q: What is Platte Valley Medical Group, LLC's specialty?

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

Active since May 28, 2020CLIA 06D2103031 · Waiver

1450 DEXTER ST STE 101, FORT LUPTON, CO 80621(303) 857-2087(303) 857-2385 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2020, May 28, 2020 (2 updates tracked since 2020).

On this page

About Fort Lupton Clinic NPPES

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

FORT LUPTON CLINIC (NPI 1881218519) is a healthcare organization registered as a family medicine in Fort Lupton, Colorado and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1881218519

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePLATTE VALLEY MEDICAL GROUP, LLC

Location Address1450 DEXTER ST STE 101Fort Lupton, CO 80621-1503

Mailing Address1450 Dexter St Ste 101Fort Lupton, CO 80621-1503 · (303) 857-2087 · Fax (303) 857-2385

Phone(303) 857-2087

Fax(303) 857-2385

Organization SubpartYesParent: Brighton Community Hospital Association

Authorized OfficialJon McdanielVp Finance · (303) 272-0231

Enumeration DateMay 28, 2020

Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2023

✔ NPI 1881218519 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.

1450 DEXTER ST STE 101, Fort Lupton, CO 80621

Open in Google Maps ↗

Other Names 1

Doing Business AsFort Lupton Clinic

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 of Waiver 06D2103031

Fort Lupton Clinic · Fort Lupton, CO

Active · expires Oct 4, 2027

CLIA Number06D2103031

Laboratory TypePhysician Office

Certificate Effective DateOctober 5, 2025

Certificate Expiration DateOctober 4, 2027

Laboratory DirectorHaley Houtchens

Laboratory Phone(303) 857-2087

Laboratory LocationFort Lupton Clinic1450 Dexter Street Suite 101, Fort Lupton, CO 80621

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Platte Valley Medical Group, LLC's NPI number?

The NPI number for Platte Valley Medical Group, LLC is 1881218519. It was assigned to this organization in the NPPES registry on May 28, 2020. The provider is doing business as Fort Lupton Clinic.

Where is Platte Valley Medical Group, LLC located?

Platte Valley Medical Group, LLC is located at 1450 Dexter St Ste 101, Fort Lupton, CO 80621. The listed phone number is (303) 857-2087.

What is Platte Valley Medical Group, LLC's specialty?

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

Does Platte Valley Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2103031) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Platte Valley Medical Group, LLC was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.