# POUDRE VALLEY MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POUDRE VALLEY MEDICAL GROUP, LLC
- **Other names:** UCHealth Medical Group, UCHealth Primary Care and Urgent Care - Green Valley Ranch
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063176055
- **Legal business name:** POUDRE VALLEY MEDICAL GROUP, LLC
- **Authorized official:** JANA CONROY (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (303) 371-0330

## Contact information

- **Practice address:** 4809 ARGONNE ST STE 100, DENVER, CO 80249-6835
- **Practice address phone:** (303) 371-0330
- **Practice address fax:** (303) 344-0200
- **Mailing address:** 2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/26/2021
- **Last updated:** 06/11/2024