Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1710593611
General Practice in Fort Collins, CO

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

The NPI number for Poudre Valley Medical Group, LLC is 1710593611. It was assigned to this organization in the NPPES registry on September 17, 2020. The provider is doing business as UCHealth Medical Group.

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

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

Active since September 17, 2020

1024 S LEMAY AVE, FORT COLLINS, CO 80524(970) 495-8440(970) 495-7644 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 4, 2026, Dec 8, 2025, Aug 5, 2024 and 2 more (5 updates tracked since 2020).

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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 1710593611), 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 September 2020. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1710593611

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC

Location Address1024 S LEMAY AVEFort Collins, CO 80524-3929

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

Phone(970) 495-8440

Fax(970) 495-7644

Organization SubpartYes

Authorized OfficialJana ConroyDirector Of Credentialing · (970) 495-8440

Enumeration DateSeptember 17, 2020

Last NPPES UpdateSeptember 4, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2026

✔ NPI 1710593611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ 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

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X

1024 S LEMAY AVE, Fort Collins, CO 80524

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Other Names 1

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 20

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

KEASHA NOHELANI KUHNEN

Emergency Medicine