NPIMap

Poudre Valley Medical Group, LLC

Organization Active NPI Cardiovascular Disease Physician · Longmont, CO

NPI 1336769173 · NPPES record last updated Jul 15, 2024

Key facts

NPI
1336769173
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Practice address
2030 Mountain View Ave Ste 540
Longmont, CO 80501-3183
Phone
(970) 221-1000
Fax
(970) 624-1891
NPI assigned
Apr 22, 2020
Organization subpart
Yes
Parent organization (as reported)
POUDRE VALLEY MEDICAL GROUP, LLC

Authorized official

Name
Jana Conroy
Title
Director of Credentialing
Phone
(970) 221-1000

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Poudre Valley Medical LLC (282 organizations share this tax ID)
Part of
Poudre Valley Medical LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X Yes

Addresses

Primary practice location

2030 Mountain View Ave Ste 540
Longmont, CO 80501-3183

Mailing address

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

Other names

  • UCHealth Medical Group Doing business as
  • UCHealth Heart and Vascular Clinic - Longmont Other name

Other providers in Longmont, CO

All providers in Longmont, CO · Cardiovascular Disease Physician in Colorado

Sources for this page

Verify at the official NPI Registry.