POUDRE VALLEY RADIATION ONCOLOGY LLC – NPI #1538137955
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

POUDRE VALLEY RADIATION ONCOLOGY LLC is a radiologist located in FORT COLLINS, CO. NPPES has assigned the NPI number 1538137955 to POUDRE VALLEY RADIATION ONCOLOGY LLC on March 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 19 years ago on Oct 16, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POUDRE VALLEY RADIATION ONCOLOGY LLC below.

NPI Profile for
POUDRE VALLEY RADIATION ONCOLOGY LLC

NPI Number
1538137955
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POUDRE VALLEY RADIATION ONCOLOGY LLC
Primary location
2121 EAST HARMONY ROAD
SUITE 160
FORT COLLINS, CO 80528-0403
Phone: (970) 482-3328 Fax: (970) 482-1433
Mailing address
PO BOX 211367
DENVER, CO 80221-0392
Phone: (303) 427-0648 Fax: (303) 427-0433
Organization Subpart
No
Authorized Official
GLENDA ORR
BUSINESS ADMINISTRATOR
Phone: (303) 427-0648
Updated
Identifiers

Identifiers for POUDRE VALLEY RADIATION ONCOLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO95670033
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.