POUDRE VALLEY MEDICAL GROUP, LLC – NPI #1699230763
Clinic/Center

POUDRE VALLEY MEDICAL GROUP, LLC is an AHC clinic located in FORT COLLINS, CO. NPPES has assigned the NPI number 1699230763 to POUDRE VALLEY MEDICAL GROUP, LLC on February 04, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. POUDRE VALLEY MEDICAL GROUP, LLC is also known by the name UCHEALTH URGENT CARE - HARMONY CAMPUS. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Aug 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POUDRE VALLEY MEDICAL GROUP, LLC below.

NPI Profile for
POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number
1699230763
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POUDRE VALLEY MEDICAL GROUP, LLC
Other Name: UCHEALTH URGENT CARE - HARMONY CAMPUS
Other name(s)
All associated names:
Doing Business As (dba)
UCHealth Medical Group
Other Name
UCHealth Urgent Care - Harmony Campus
Primary location
2127 E HARMONY RD STE 140
FORT COLLINS, CO 80528-3406
Phone: (970) 297-6250 Fax: (970) 297-6260
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: (970) 297-6250 Fax: (970) 297-6260
Organization Subpart
Yes - POUDRE VALLEY MEDICAL GROUP, LLC is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (970) 297-6250
Updated
Certification Date
Aug 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for POUDRE VALLEY MEDICAL GROUP, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCO22106260
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.