POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1225669450
Internal Medicine - Cardiovascular Disease in Craig, CO
NPI Status: Active since January 27, 2020
Contact Information
595 RUSSELL ST
CRAIG, CO
ZIP 81625
Phone: (970) 824-1020
Fax: (970) 824-5300
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 06D0947092
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-08-2026
About POUDRE VALLEY MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Poudre Valley Medical Group, Llc, an internist established in Craig, Colorado operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1225669450 assigned on January 2020. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1225669450
- Provider Legal Name
- POUDRE VALLEY MEDICAL GROUP, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 595 RUSSELL ST CRAIG, CO 81625
- Location Phone
- (970) 824-1020
- Location Fax
- (970) 824-5300
- Mailing Address
- 2695 ROCKY MOUNTAIN AVE STE 150 LOVELAND, CO 80538
- Mailing Phone
- (970) 824-1020
- Mailing Fax
- (970) 824-5300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-27-2020
- Last Update Date
- 07-16-2025
- Code Navigator
An internist like Poudre Valley Medical Group, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0947092
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 09, 2024
- Certificate Expiration Date
- June 08, 2026
- Laboratory Director
- DR. CATHERINE L. SALISBURY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Poudre Valley Medical Group, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225669450, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225669450, enumerated as an "organization" on January 27, 2020.
The provider is located at 595 RUSSELL ST CRAIG, CO 81625 and the phone number is (970) 824-1020.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
