Poudre Valley Foot And Ankle Clinic Pc

LBN: Anderson Podiatry Center Pc
Poudre Valley Foot And Ankle Clinic Pc is an health care organization with primary practice located at 1355 Riverside Ave Suite C, Fort Collins CO 80524-4368. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty. Anderson Podiatry Center Pc can be contacted via phone (970) 484-4620, or through Anderson, James Charles via phone (970) 484-4620.

Contact Information

Primary practice address
1355 Riverside Ave Suite C Fort Collins CO 80524-4368
Phone: (970) 484-4620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, James Charles Doctor of Podiatric Medicine (DPM)
Phone: (970) 484-4620

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 662 Colorado

Profile Details

NPI number 1457571127
LBN Legal business name Anderson Podiatry Center Pc
DBA Doing business as Poudre Valley Foot And Ankle Clinic Pc
Authorized official Anderson, James Charles Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 27th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457571127 NPPES
Colorado Other 4800195741 RR MEDICARE
Colorado MEDICAID 04013090 RR MEDICARE
Colorado Other CJ4464 RR MEDICARE
Colorado MEDICAID 109240500 RR MEDICARE

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