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 Internal Medicine Physician · NPI 1619577459

Poudre Valley Medical Group, LLC is an Internal Medicine Physician in Fort Collins, Colorado. Registered with an NPI since 2020.

In the registry since
2020
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

4674 Snow Mesa Dr Ste 200
Fort Collins, CO 80528-8614
Phone: (970) 266-3650
Fax: (970) 266-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1619577459
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (970) 266-3650
Other names Uchealth Medical Group; Uchealth Internal Medicine And Pediatric Care - Snow Mesa
NPI enumeratedOctober 30, 2020
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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