Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Family Medicine Physician · Fort Collins, CO

NPI number 1912717653 Active

Practice location

151 W Lake St Ste 1500
Fort Collins, CO 80524-4124

Call (970) 297-6700 Map

Fax (970) 297-6701

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

8 other providers at this address

Other family medicine physician providers in Fort Collins

See all in Fort Collins →

NPI record

NPI: 1912717653
Entity type: Organization (Type 2)
Issued: Jan 13, 2025
Last updated: Feb 12, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

<unavail>
Uchealth Medical Group · doing business as
Uchealth Medical Group · doing business as
Uchealth Primary Care - Lake Street · other name

Authorized official

Jana Conroy
Director of Credentialing
(970) 297-6700

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.

Is this your record? How to update it.

About NPI 1912717653

Poudre Valley Medical Group, LLC's National Provider Identifier is 1912717653, issued on Jan 13, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Collins, CO. The record was last updated on Feb 12, 2025.