OrganizationActive
Wind River Pain Management, LLC
NPI 1104992296 · Pain Clinic/Center · Fort Collins, CO
Provider details
- NPI number
- 1104992296
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Derrisaw, Ceo(970) 420-9904
- License
- 39525 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5873 Highland Hills Cir
Fort Collins, CO 80528-8941
Phone: (970) 420-9904
Approximate (ZIP-level) locationGet directions
Mailing address
5873 Highland Hills Cir
Fort Collins, CO 80528-8941
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.