POUDRE VALLEY MEDICAL GROUP LLC NPI 1609406222

NPI Information

  • NPI: 1609406222
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: UCHEALTH MEDICAL GROUP
  • CLIA Number: 06D0517487
  • Address: 1015 E PIKES PEAK AVE STE 100
    COLORADO SPRINGS, CO
    ZIP 80903
  • Phone: (719) 473-2424

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is an obstetrics gynecology in Colorado Springs, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1609406222. 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:

1015 E PIKES PEAK AVE STE 100
COLORADO SPRINGS, CO
ZIP 80903-700
Phone: (719) 473-2424
Fax: (719) 227-1475

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 473-2424.

The CLIA number assigned to this NPI record is 06D0517487 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/23/2020 and was last updated on 8/1/2024.

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
1207V00000XObstetrics & GynecologyYes

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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