Poudre Valley Medical Group, LLC
Organization Active NPI Obstetrics & Gynecology Physician · Pueblo, CO
NPI 1831986348 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1831986348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- POUDRE VALLEY MEDICAL GROUP, LLC
- Practice address
- 1501 Court St
Pueblo, CO 81003-2720 - Phone
- (719) 543-6755
- Fax
- (719) 583-2236
- 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) 543-6755
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
1501 Court St
Pueblo, CO 81003-2720
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Other names
- UCHealth Medical Group
- Associates in Womens Health - Court Street
Other providers in Pueblo, CO
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC
- Lillibeth Powell
- Prairie Medical Clinic PLLC
All providers in Pueblo, CO · Obstetrics & Gynecology 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 Apr 21, 2025. 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.