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POUDRE VALLEY MEDICAL GROUP LLC NPI 1215568456


NPI Information

NPI: 1215568456
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 06D1032013

Address:
6705 RANGEWOOD DR
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 599-7331
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POUDRE VALLEY MEDICAL GROUP, LLC is an obstetrics gynecology in Colorado Springs, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1215568456. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

6705 RANGEWOOD DR
COLORADO SPRINGS, CO
ZIP 80918-300
Phone: (719) 599-7331
Fax: (719) 390-1333

The provider's authorized official is Jana Conroy .
The authorized official title is Credentialing Manager and has the following contact phone number (970) 624-4443.

The CLIA number assigned to this NPI record is 06D1032013 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/27/2020 and was last updated on 1/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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