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Poudre Valley Medical Group, LLC

Organization Active NPI Obstetrics & Gynecology Physician · Pueblo, CO

NPI 1649067158 · NPPES record last updated Nov 10, 2025

Key facts

NPI
1649067158
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Practice address
1600 N Grand Ave Ste 400
Pueblo, CO 81003-2760
Phone
(719) 585-2500
Fax
(719) 543-1041
NPI assigned
Apr 21, 2025
Organization subpart
Yes
Parent organization (as reported)
POUDRE VALLEY MEDICAL GROUP, LLC

Authorized official

Name
Jana Conroy
Title
Director of Credentialing
Phone
(719) 585-2500

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
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

1600 N Grand Ave Ste 400
Pueblo, CO 81003-2760

Mailing address

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

Other names

  • UCHealth Medical Group Doing business as
  • Associates in Womens Health - Parkview Medical Office Building Other name

Other providers in Pueblo, CO

All providers in Pueblo, CO · Obstetrics & Gynecology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.