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UCHEALTH EMPLOYER HEALTH CLINIC - BROADCOM
NPI 1710516950
General Practice in Fort Collins, CO

Active since April 08, 2020
4380 ZIEGLER RD, FORT COLLINS, CO 80525(970) 237-7550(970) 237-7551 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Apr 11, 2020 (2 updates tracked since 2020).

About Uchealth Employer Health Clinic - Broadcom NPPES

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

UCHEALTH EMPLOYER HEALTH CLINIC - BROADCOM (NPI 1710516950), doing business as Uchealth Medical Group, is a healthcare organization registered as a general practice in Fort Collins, Colorado and active in the NPI registry since April 2020. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1710516950
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address4380 ZIEGLER RDFort Collins, CO 80525-9631
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 237-7550 · Fax (970) 237-7551
Phone(970) 237-7550
Fax(970) 237-7551
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (970) 237-7550
Enumeration DateApril 8, 2020
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1710516950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4380 ZIEGLER RD, Fort Collins, CO 80525
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Other Names 2

Other NameUchealth Employer Health Clinic - Broadcom
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

Other Providers at the Same Location NPPES

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

MRS. EMILY BARTZEN LEIBOW PA-C
Physician Assistant
4380 ZIEGLER RD
FORT COLLINS, CO 80525
Larimer County (970) 237-7550

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 1710516950. It was assigned to this organization in the NPPES registry on April 8, 2020. The provider is doing business as UCHealth Medical Group. The provider is also known as Uchealth Employer Health Clinic - Broadcom.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 4380 Ziegler Rd, Fort Collins, CO 80525. The listed phone number is (970) 237-7550.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on August 5, 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.