Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Family Medicine Physician · Firestone, CO

NPI number 1194280263 Active

Practice location

11083 Colorado Blvd
Firestone, CO 80504-5873

Call (303) 833-8880 Map

Fax (303) 682-8007

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician	207N00000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Gastroenterology Physician	207RG0100X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Pediatrics Physician	208000000X	None listed
Surgery Physician	208600000X	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.

6 other providers at this address

Other family medicine physician providers in Firestone

See all in Firestone →

NPI record

NPI: 1194280263
Entity type: Organization (Type 2)
Issued: Feb 4, 2019
Last updated: Jan 2, 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, MBA, RHIA
Director of Credentialing
(303) 833-8880

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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 1194280263

Poudre Valley Medical Group, LLC's National Provider Identifier is 1194280263, issued on Feb 4, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Firestone, CO. The record was last updated on Jan 2, 2025.