Fort Collins Youth Clinic
NPI 1154918308ActiveOrganization· Pediatrics· Fort Collins, CO
Pediatrics in Fort Collins, Colorado, registered in NPPES in December 2020. The authorized official on file is Stephanie Fred, Executive Assistant.
Overview
| NPI | 1154918308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2020 |
| Last updated in NPPES | Dec 22, 2020 |
| Certified by provider | Dec 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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