Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Eads, CO

NPI number 1356972301 Active

Practice location

1208 Luther Street
Eads, CO 81036-0817

Call (719) 438-5401 Map

Fax (719) 438-5697

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
Clinical Cardiac Electrophysiology Physician	207RC0001X	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: 1356972301
Entity type: Organization (Type 2)
Issued: Jan 29, 2020
Last updated: Jul 24, 2024
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
Uchealth Heart and Vascular Clinic - Eads · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 438-5401

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 1356972301

Poudre Valley Medical Group, LLC's National Provider Identifier is 1356972301, issued on Jan 29, 2020. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Eads, CO. The record was last updated on Jul 24, 2024.