POUDRE VALLEY MEDICAL GROUP, LLC; NPI #1457011652

Contact Information

POUDRE VALLEY MEDICAL GROUP, LLC

3911 AVENUE B
SCOTTSBLUFF, NE 69361-4617

Phone: 999-999-9999
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number	`1457011652`
LBN Legal business name	POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official	JANA CONROY - (DIRECTOR OF CREDENTIALING)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	12/29/2021
Last updated	07/30/2024 - More than a year 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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POUDRE VALLEY MEDICAL GROUP, LLC

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for POUDRE VALLEY MEDICAL GROUP, LLC

Reviews for POUDRE VALLEY MEDICAL GROUP, LLC