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Organization

POUDRE VALLEY MEDICAL GROUP, LLC

Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY (DIRECTOR CREDENTIALING)
(970) 624-4443
Entity
Organization

Contact information

Practice address
1107 S LEMAY AVE STE 100, FORT COLLINS, CO 80524-3956
(970) 495-8440
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4443

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
225X00000X
Occupational Therapist
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
07/23/2025
Last updated
11/25/2025
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