Fort Collins Youth Clinic
NPI 1336292622ActiveOrganization· Pediatrics· Fort Collins, CO
Pediatrics in Fort Collins, Colorado, registered in NPPES in January 2007. The authorized official on file is Stephanie Fred, Executive Assistant.
Overview
| NPI | 1336292622 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2007 |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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