Provider Demographics
NPI:1114611498
Name:POUDRE VALLEY HEALTH CARE INC
Entity type:Organization
Organization Name:POUDRE VALLEY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO, UCHEALTH
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:CONCORDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-329-9754
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-329-9754
Mailing Address - Fax:844-691-1657
Practice Address - Street 1:701 AUTOMATION DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3142
Practice Address - Country:US
Practice Address - Phone:970-329-9754
Practice Address - Fax:844-691-1657
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POUDRE VALLEY HEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-08
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No343800000XTransportation ServicesSecured Medical Transport (VAN)