Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Poudre Valley Medical Group, LLC

Organization General Practice Physician · NPI 1225742000

Poudre Valley Medical Group, LLC is a General Practice Physician in Longmont, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1760 E Ken Pratt Blvd 1.220 1.222
Longmont, CO 80504-5311
Phone: (720) 718-5140
Fax: (720) 516-0246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1225742000
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 718-5140
Other names Uchealth Medical Group
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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