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Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
(LCSW) UCHealth Emergency Care - Parkview Medical Center, UCHealth Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY (DIRECTOR OF CREDENTIALING)
(719) 584-4921
Entity
Organization
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4921
(719) 595-7994
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Enumeration date
01/02/2025
Last updated
04/21/2025
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