POUDRE VALLEY MEDICAL GROUP, LLC – NPI #1912717653
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 FORT COLLINS, CO. NPPES has assigned the NPI number 1912717653 to POUDRE VALLEY MEDICAL GROUP, LLC on January 13, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. 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 Feb 12, 2025. 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
1912717653
Enumeration Date

(more than a year 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(s)
All associated names:
Doing Business As (dba)
UCHealth Medical Group
Other Name
UCHealth Primary Care - Lake Street
Primary location
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524-4124
Phone: (970) 297-6700 Fax: (970) 297-6701
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: (970) 297-6700
Updated
Certification Date
Feb 12, 2025

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)

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.