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POUDRE VALLEY MEDICAL GROUP LLC NPI 1700417391


NPI Information

NPI: 1700417391
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2 W 42ND ST STE 1300
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 630-2626
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POUDRE VALLEY MEDICAL GROUP, LLC is a cardiovascular disease internal medicine in Scottsbluff, NE. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1700417391. 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:

2 W 42ND ST STE 1300
SCOTTSBLUFF, NE
ZIP 69361-669
Phone: (308) 630-2626
Fax: (308) 630-2636

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

The enumeration date for this NPI number is 2/1/2020 and was last updated on 9/18/2023.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.