POUDRE VALLEY MEDICAL GROUP LLC NPI 1710593611

NPI Information

NPI: 1710593611
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1024 S LEMAY AVE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 495-8440
Get Directions

POUDRE VALLEY MEDICAL GROUP, LLC is a neurology psychiatry neurology in Fort Collins, CO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1710593611. 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:

1024 S LEMAY AVE
FORT COLLINS, CO
ZIP 80524-929
Phone: (970) 495-8440
Fax: (970) 495-7644

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 06D2116126 - blood bank with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 1/11/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	163WW0000X	Registered Nurse	Wound Care	No
3	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	No
4	208D00000X	General Practice		No
5	363LN0000X	Nurse Practitioner	Neonatal	No
6	2084N0400X	Psychiatry & Neurology	Neurology	Yes

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

NPI Synchronization or Removal

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