POUDRE VALLEY MEDICAL GROUP, LLC is a primary care clinic center in Cripple Creek, CO. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1508322496. The provider is registered as an organization entity type.
The provider Is Doing Business As Uchealth Primary Care - Cripple Creek.
The provider's business location address is:
1101 COUNTY ROAD 1
CRIPPLE CREEK, CO
ZIP 80813-909
Phone: (719) 689-7763
Fax: (719) 689-5704
The provider's authorized official is Jana Conroy .
The authorized official title is Manager Credentialing and has the following contact phone number (970) 624-4443.
The CLIA number assigned to this NPI record is 06D2161853 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2019 and was last updated on 12/21/2019.