Poudre Valley Medical Group, LLC
Organization Active NPI Cardiovascular Disease Physician · Springfield, CO
NPI 1659902898 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1659902898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- POUDRE VALLEY MEDICAL GROUP, LLC
- Practice address
- 373 E 10TH Ave
Springfield, CO 81073-1622 - Phone
- (719) 523-6628
- Fax
- (719) 523-4513
- NPI assigned
- Jan 27, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
- Name
- Jana Conroy
- Title
- Director of Credentialing
- Phone
- (719) 523-6628
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Poudre Valley Medical LLC
- Part of
- Poudre Valley Medical LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
373 E 10TH Ave
Springfield, CO 81073-1622
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (719) 523-6628
Other names
- UCHealth Medical Group
- UCHealth Heart Clinic - Springfield
Other providers in Springfield, CO
- Chambrey Ann Johnson
- Kyle L Lasley
- Antonio S Manalo
- Cynthia Lynn Packard
- Jacia Dawn Piper
- Prairie Clinic LLC
- R & R Family Pharmacy LLC
- Ann Alea Ratliff
- Tennille Rau
- Aubtin Saedi
All providers in Springfield, CO · Cardiovascular Disease Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.