Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY RHIA (DIRECTOR OF CREDENTIALING)
(720) 733-5260
Entity
Organization
Contact information
Practice address
4404 BARRANCA LN UNIT 101, CASTLE ROCK, CO 80104-7419
(720) 733-5260
(720) 733-5261
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
07/15/2024
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