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POUDRE VALLEY MEDICAL GROUP LLC NPI 1346864790


NPI Information

NPI: 1346864790
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 53D0519664

Address:
5050 POWDERHOUSE RD
CHEYENNE, WY
ZIP 82009
Phone: (970) 203-7190
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POUDRE VALLEY MEDICAL GROUP, LLC is a family medicine in Cheyenne, WY. 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 1346864790. 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:

5050 POWDERHOUSE RD
CHEYENNE, WY
ZIP 82009-800
Phone: (970) 203-7190
Fax: (970) 203-7099

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (307) 634-1311.

The CLIA number assigned to this NPI record is 53D0519664 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/2/2020 and was last updated on 3/4/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207RR0500XInternal MedicineRheumatologyNo
6207Y00000XOtolaryngologyNo
72084N0400XPsychiatry & NeurologyNeurologyNo
82086S0129XSurgeryVascular SurgeryNo
9208VP0000XPain MedicinePain MedicineNo
10225100000XPhysical TherapistNo

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.