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POUDRE VALLEY MEDICAL GROUP LLC NPI 1679182141


NPI Information

NPI: 1679182141
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 06D2190076

Address:
100 COOK STREET
SUITE 202
DENVER, CO
ZIP 80206
Phone: (720) 516-9413
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POUDRE VALLEY MEDICAL GROUP, LLC is a hematology and oncology internal medicine in Denver, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1679182141. 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:

100 COOK STREET
SUITE 202
DENVER, CO
ZIP 80206
Phone: (720) 516-9413
Fax: (720) 516-9441

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 06D2190076 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 1/15/2021.


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
1207R00000XInternal MedicineNo
2207RH0003XInternal MedicineHematology & OncologyYes

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: 11/14/2023

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