POUDRE VALLEY MEDICAL GROUP LLC NPI 1013539113

NPI Information

  • NPI: 1013539113
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Other Name: UCHEALTH MEDICAL GROUP
  • Address: 328 S BONAVENTURE AVE STE 2
    TRINIDAD, CO
    ZIP 81082
  • Phone: (719) 364-6487

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is a cardiovascular disease internal medicine in Trinidad, CO. 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 1013539113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Uchealth Medical Group.

The provider's business location address is:

328 S BONAVENTURE AVE STE 2
TRINIDAD, CO
ZIP 81082-086
Phone: (719) 364-6487
Fax: (719) 364-6488

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 364-6487.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 6/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2207RH0003XInternal MedicineHematology & OncologyNo

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: 11/21/2025

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