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 1912717653

Poudre Valley Medical Group, LLC is a Family Medicine Physician in Fort Collins, Colorado. Registered with an NPI since 2025.

In the registry since
2025
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

151 W Lake St Ste 1500
Fort Collins, CO 80524-4124
Phone: (970) 297-6700
Fax: (970) 297-6701
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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

Record details

NPI number1912717653
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (970) 297-6700
Other names Uchealth Medical Group; Uchealth Medical Group; Uchealth Primary Care - Lake Street
NPI enumeratedJanuary 13, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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