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Contact Information

POUDRE VALLEY MEDICAL GROUP, LLC
2500 ROCKY MOUNTAIN AVE STE 2200
LOVELAND, CO80538-9004
 Phone: 970-203-7050
 Fax: 970-203-7055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Integrative Medicine

202D00000X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number 1871115758
LBN Legal business name POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official JANA CONROY - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/13/2020
Last updated 10/17/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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