Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fountain Valley Health Care LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1275272924

Fountain Valley Health Care LLC is an Addiction Medicine (Family Medicine) Physician in Fountain, Colorado. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5115 Fontaine Blvd
Fountain, CO 80817-1061
Phone: (719) 271-2887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1275272924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacquita Jordan — Owner · (719) 271-2887
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address10265 Rolling Ridge Rd, Colorado Springs, CO 80925-9509