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Poudre Valley Medical Group, LLC

Organization Active NPI Pediatrics Physician · Loveland, CO

NPI 1649864448 · NPPES record last updated Aug 5, 2024

Key facts

NPI
1649864448
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Practice address
3520 E 15TH St Ste 201
Loveland, CO 80538-8939
Phone
(970) 203-7165
Fax
(970) 203-7105
NPI assigned
Feb 23, 2021
Organization subpart
Yes
Parent organization (as reported)
POUDRE VALLEY MEDICAL GROUP, LLC

Authorized official

Name
Jana Conroy, MBA, RHIA
Title
Director of Credentialing
Phone
(970) 203-7165

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
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

3520 E 15TH St Ste 201
Loveland, CO 80538-8939

Mailing address

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

Other names

  • UCHealth Medical Group Doing business as
  • UCHealth Pediatric Care - Loveland Other name

Other providers in Loveland, CO

All providers in Loveland, CO · Pediatrics Physician in Colorado

Sources for this page

Verify at the official NPI Registry.