POUDRE VALLEY MEDICAL GROUP LLC NPI 1205467446

NPI Information

  • NPI: 1205467446
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: UCHEALTH MEDICAL GROUP
  • CLIA Number: 06D2145156
  • Address: 7000 E BELLEVIEW AVE STE 209
    GREENWOOD VILLAGE, CO
    ZIP 80111
  • Phone: (720) 482-3777

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NPI Details

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 multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

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 Director Of Credentialing and has the following contact phone number (720) 482-3777.

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 6/19/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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