Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Longmont, CO

NPI number 1497415582 Active

Practice location

1760 E Ken Pratt Blvd Ste 405
Longmont, CO 80504-5311

Call (720) 718-5420 Map

Fax (720) 718-5988

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
Cardiac Rehabilitation Clinic/Center	261QR0404X	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.

24 other providers at this address

Other cardiovascular disease physician providers in Longmont

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NPI record

NPI: 1497415582
Entity type: Organization (Type 2)
Issued: Dec 30, 2021
Last updated: Jul 31, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Cardiopulmonary Rehabilitation Clinic - LPMC · other name

Authorized official

Jana Conroy
Director of Credentialing
(720) 718-5420

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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 1497415582

Poudre Valley Medical Group, LLC's National Provider Identifier is 1497415582, issued on Dec 30, 2021. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Longmont, CO. The record was last updated on Jul 31, 2024.