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POUDRE VALLEY MEDICAL GROUP LLC NPI 1285931865


NPI Information

NPI: 1285931865
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 06D2038902

Address:
1106 E PROSPECT RD STE 100
FORT COLLINS, CO
ZIP 80525
Phone: (970) 495-7410
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POUDRE VALLEY MEDICAL GROUP, LLC is an internal medicine in Fort Collins, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1285931865. 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:

1106 E PROSPECT RD STE 100
FORT COLLINS, CO
ZIP 80525-304
Phone: (970) 495-7410
Fax: (970) 495-7425

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 CLIA number assigned to this NPI record is 06D2038902 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 4/27/2023.


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
1207Q00000XFamily MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207R00000XInternal 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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