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Fountain Valley Health Care LLC

Primary Care Clinic/Center in Fountain, CO · enumerated 2022 · authorized official Jacquita Jordan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275272924

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Registry record

Entity type Organization (Type 2)
Legal business name Fountain Valley Health Care LLC
Practice address 5115 Fontaine Blvd, Fountain, CO, 80817
Enumeration date Jun 1, 2022
Last updated in NPPES Jun 26, 2026

Taxonomy & classification

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jacquita Jordan
Title Owner

Other identifiers

Identifier Type State Issuer
9000224288 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Fountain Valley Health Care LLC?
The NPI for Fountain Valley Health Care LLC is 1275272924, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fountain Valley Health Care LLC?
NPPES lists Jacquita Jordan (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-26.