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POUDRE VALLEY MEDICAL GROUP LLC NPI 1205467446


NPI Information

NPI: 1205467446
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH PRIMARY CARE - GREENWOOD VILLAGE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2145156

Address:
7000 E BELLEVIEW AVE STE 209
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (720) 482-3777
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POUDRE VALLEY MEDICAL GROUP, LLC is a family medicine in Greenwood Village, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1205467446. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Uchealth Primary Care - Greenwood Village.

The provider's business location address is:

7000 E BELLEVIEW AVE STE 209
GREENWOOD VILLAGE, CO
ZIP 80111-622
Phone: (720) 482-3777
Fax: (720) 482-3776

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 06D2145156 - physician office with a certificate type of Certificate of Waiver.

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


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
1207Q00000XFamily MedicineYes

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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