POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1275155327
Internal Medicine - Cardiovascular Disease in Lamar, CO

Active since May 12, 2020
201 KENDALL DR, LAMAR, CO 81052(719) 336-0261(719) 336-0265 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 12, 2020 (2 updates tracked since 2020).

About Poudre Valley Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POUDRE VALLEY MEDICAL GROUP, LLC (NPI 1275155327) is a healthcare organization registered as a cardiovascular disease in Lamar, Colorado and active in the NPI registry since May 2020. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1275155327
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address201 KENDALL DRLamar, CO 81052-3939
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Fax(719) 336-0265
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (719) 336-0261
Enumeration DateMay 12, 2020
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1275155327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
Also ListedGeneral PracticeTaxonomy 208D00000X
201 KENDALL DR, Lamar, CO 81052

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
201 KENDALL DR
LAMAR, CO 81052
Clinic/Center (Community Health)
201 KENDALL DR
LAMAR, CO 81052
Clinic/Center (Migrant Health)
201 KENDALL DR
LAMAR, CO 81052
Dentist
201 KENDALL DR
LAMAR, CO 81052
Social Worker
201 KENDALL DR
LAMAR, CO 81052
Family Medicine
201 KENDALL DR
LAMAR, CO 81052
Health Maintenance Organization
201 KENDALL DR
LAMAR, CO 81052
Obstetrics & Gynecology
201 KENDALL DR
LAMAR, CO 81052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1275155327. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 201 Kendall Dr, Lamar, CO 81052. The listed phone number is (719) 336-0261.

What is Poudre Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.