# 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 Internal Medicine - Highlands Ranch Hospital, Pavilion 2
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659236990
- **Legal business name:** POUDRE VALLEY MEDICAL GROUP, LLC
- **Authorized official:** JANA CONROY (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (720) 213-4507

## Contact information

- **Practice address:** 9051 SSG CHRIS FALKEL DRIVE, SUITE 130, HIGHLANDS RANCH, CO 80129-3190
- **Practice address phone:** (720) 213-4507
- **Mailing address:** 2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2025
- **Last updated:** 09/16/2026