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 (DIRECTOR OF CREDENTIALING)
(719) 365-1292
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Enumeration date
04/08/2020
Last updated
08/01/2024
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