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 Family Medicine Physician · NPI 1508322496

Poudre Valley Medical Group, LLC is a Family Medicine Physician in Cripple Creek, Colorado. Registered with an NPI since 2019.

In the registry since
2019
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

1101 County Road 1
Cripple Creek, CO 80813-8909
Phone: (719) 689-7763
Fax: (719) 689-5704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1508322496
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 689-7763
Other names Uchealth Medical Group; Uchealth Primary Care - Cripple Creek
NPI enumeratedFebruary 15, 2019
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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