POUDRE VALLEY MEDICAL GROUP, LLC – NPI #1508322496
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

POUDRE VALLEY MEDICAL GROUP, LLC is a provider located in CRIPPLE CREEK, CO. NPPES has assigned the NPI number 1508322496 to POUDRE VALLEY MEDICAL GROUP, LLC on February 15, 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 PRIMARY CARE - CRIPPLE CREEK. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 01, 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
1508322496
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 PRIMARY CARE - CRIPPLE CREEK
Other name(s)
All associated names:
Doing Business As (dba)
UCHealth Medical Group
Other Name
UCHealth Primary Care - Cripple Creek
Primary location
1101 COUNTY ROAD 1
CRIPPLE CREEK, CO 80813-8909
Phone: (719) 689-7763 Fax: (719) 689-5704
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: Fax:
Organization Subpart
Yes - POUDRE VALLEY MEDICAL GROUP, LLC is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (719) 689-7763
Updated
Certification Date
Aug 01, 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.

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
207Q00000X
- Family Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

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.