UCHEALTH MEDICAL GROUP – NPI #1356972301
Internal Medicine

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.

UCHEALTH MEDICAL GROUP is a provider located in EADS, CO. NPPES has assigned the NPI number 1356972301 to UCHEALTH MEDICAL GROUP on January 29, 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 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jul 24, 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
1356972301
Enumeration Date

(more than 6 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 Heart and Vascular Clinic - Eads
Doing Business As (dba)
UCHEALTH MEDICAL GROUP
Primary location
1208 LUTHER STREET
EADS, CO 81036-0817
Phone: (719) 438-5401 Fax: (719) 438-5697
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: Fax:
Organization Subpart
Yes - UCHEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (719) 438-5401
Updated
Certification Date
Jul 24, 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.

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.