UCHEALTH MEDICAL GROUP – NPI #1619577459
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

UCHEALTH MEDICAL GROUP is a provider located in FORT COLLINS, CO. NPPES has assigned the NPI number 1619577459 to UCHEALTH MEDICAL GROUP on October 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UCHEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is POUDRE VALLEY MEDICAL GROUP, LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

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 UCHEALTH MEDICAL GROUP below.

NPI Profile for
POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number
1619577459
Enumeration Date

(more than 5 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
Doing Business As (dba): UCHEALTH MEDICAL GROUP
Other name(s)
All associated names:
Other Name
UCHealth Internal Medicine and Pediatric Care - Snow Mesa
Doing Business As (dba)
UCHEALTH MEDICAL GROUP
Primary location
4674 SNOW MESA DR STE 200
FORT COLLINS, CO 80528-8614
Phone: (970) 266-3650 Fax: (970) 266-3660
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: (970) 266-3650 Fax: (970) 266-3660
Organization Subpart
Yes - UCHEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (970) 266-3650
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.

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
207R00000X
- Internal Medicine (Primary)
208000000X
- Pediatrics

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.