POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1841087368
Internal Medicine - Cardiovascular Disease in Canon City, CO

Active since April 21, 2025
109 LATIGO LN STE E, CANON CITY, CO 81212(719) 562-2900(719) 924-1592 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1841087368), doing business as Uchealth Medical Group, is a healthcare organization registered as a cardiovascular disease in Canon City, Colorado and active in the NPI registry since April 2025. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1841087368
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address109 LATIGO LN STE ECanon City, CO 81212-8113
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Fax(719) 924-1592
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (719) 562-2900
Enumeration DateApril 21, 2025
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
NPI 1841087368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
109 LATIGO LN STE E, Canon City, CO 81212

Other Names 2

Doing Business AsUchealth Medical Group
Other NameUchealth Specialty Care Clinic - Canon City

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.

Internal Medicine (Medical Oncology)
109 LATIGO LN STE E
CANON CITY, CO 81212

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 1841087368. It was assigned to this organization in the NPPES registry on April 21, 2025. The provider is doing business as UCHealth Medical Group. The provider is also known as UCHealth Specialty Care Clinic - Canon City.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 109 Latigo Ln Ste E, Canon City, CO 81212. The listed phone number is (719) 562-2900.

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 May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.