UCHEALTH FAMILY MEDICINE - WOODLAND PARK - NPI 1497374177 - Family Medicine in Woodland Park, CO

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

The NPI number for Poudre Valley Medical Group, LLC is 1497374177. It was assigned to this organization in the NPPES registry on April 13, 2020. The provider is doing business as UCHealth Medical Group. The provider is also known as Uchealth Family Medicine - Woodland Park.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Uchealth Family Medicine - Woodland Park NPPES

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

UCHEALTH FAMILY MEDICINE - WOODLAND PARK (NPI 1497374177), doing business as Uchealth Medical Group, is a healthcare organization registered as a family medicine in Woodland Park, Colorado and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1497374177

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC

Location Address16222 W US HIGHWAY 24 STE 200Woodland Park, CO 80863-8763

Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071

Phone(719) 686-0878

Fax(719) 686-7885

Organization SubpartYes

Authorized OfficialJana ConroyDirector Of Credentialing · (719) 686-0878

Enumeration DateApril 13, 2020

Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1497374177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

16222 W US HIGHWAY 24 STE 200, Woodland Park, CO 80863

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Other Names 2

Other NameUchealth Family Medicine - Woodland Park

Doing Business AsUchealth Medical Group

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2161853

Uchealth Family Medicine - Woodland Park · Woodland Park, CO

Active · expires Feb 11, 2027

CLIA Number06D2161853

Laboratory TypePhysician Office

Certificate Effective DateFebruary 12, 2025

Certificate Expiration DateFebruary 11, 2027

Laboratory DirectorDr. Rachel Keesling

Laboratory Phone(719) 689-7763

Laboratory LocationUchealth Family Medicine - Woodland Park16222 West Highway 24, Suite 200 And 210, Woodland Park, CO 80863

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MRS. MOLLY SCHREIBER PA-C

Physician Assistant (Medical)