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

Poudre Valley Medical Group, LLC

Organization Cardiovascular Disease Physician · NPI 1619585312

Poudre Valley Medical Group, LLC is a Cardiovascular Disease Physician in Lamar, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
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

403 Kendall Dr
Lamar, CO 81052-3953
Phone: (719) 336-6790
Fax: (719) 336-7026
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Hematology & Oncology Physician Taxonomy 207RH0003X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1619585312
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 336-6790
Other names Uchealth Medical Group; Uchealth Outreach Clinic - Lamar
NPI enumeratedJuly 20, 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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