Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Walsenburg, CO

NPI number 1124640214 Active

Practice location

23450 US Highway 160
Walsenburg, CO 81089-8100

Call (719) 738-4588 Map

Fax (719) 738-4534

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6 other providers at this address

NPI record

NPI: 1124640214
Entity type: Organization (Type 2)
Issued: May 12, 2020
Last updated: May 29, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Heart Clinic - Walsenburg · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 738-4588

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 1124640214

Poudre Valley Medical Group, LLC's National Provider Identifier is 1124640214, issued on May 12, 2020. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Walsenburg, CO. The record was last updated on May 29, 2024.