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POUDRE VALLEY MEDICAL GROUP LLC NPI 1780206664


NPI Information

NPI: 1780206664
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 06D0963037

Address:
221 E 29TH ST STE 102
LOVELAND, CO
ZIP 80538
Phone: (970) 624-2800
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POUDRE VALLEY MEDICAL GROUP, LLC is an urgent care clinic center in Loveland, CO. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1780206664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

221 E 29TH ST STE 102
LOVELAND, CO
ZIP 80538-746
Phone: (970) 624-2800
Fax: (970) 203-7055

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (970) 624-4443.

The CLIA number assigned to this NPI record is 06D0963037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 6/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryNo
22083X0100XPreventive MedicineOccupational MedicineNo
3225100000XPhysical TherapistNo
4261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.