Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Family Medicine Physician · Denver, CO

NPI number 1114530466 Active

Practice location

311 Steele St
Denver, CO 80206-4414

Call (303) 372-4000 Map

Fax (303) 372-4001

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Urgent Care Clinic/Center	261QU0200X	None listed

Family Medicine Physician: 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.

24 other providers at this address

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NPI record

NPI: 1114530466
Entity type: Organization (Type 2)
Issued: Aug 26, 2020
Last updated: Dec 15, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(303) 372-4000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114530466

Poudre Valley Medical Group, LLC's National Provider Identifier is 1114530466, issued on Aug 26, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Denver, CO. The record was last updated on Dec 15, 2025.