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

Poudre Valley Medical Group, LLC

Organization Family Medicine Physician · NPI 1255918058

Poudre Valley Medical Group, LLC is a Family Medicine Physician in Longmont, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

601 S Main St
Longmont, CO 80501-6427
Phone: (720) 718-8410
Fax: (720) 718-8999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255918058
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 718-8410
Other names Uchealth Primary Care - Ken Pratt Blvd
NPI enumeratedMarch 26, 2021
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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