Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · La Junta, CO

NPI number 1225658057 Active

Practice location

1100 Carson Ave
La Junta, CO 81050-2751

Call (719) 384-5412 Map

Fax (719) 383-6547

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
Pulmonary Disease Physician	207RP1001X	None listed
Urology Physician	208800000X	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.

37 other providers at this address

NPI record

NPI: 1225658057
Entity type: Organization (Type 2)
Issued: Apr 22, 2020
Last updated: Apr 21, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(719) 384-5412

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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 1225658057

Poudre Valley Medical Group, LLC's National Provider Identifier is 1225658057, issued on Apr 22, 2020. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in La Junta, CO. The record was last updated on Apr 21, 2025.