POUDRE VALLEY MEDICAL GROUP, LLC – NPI #1306436381
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

POUDRE VALLEY MEDICAL GROUP, LLC is a provider located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1306436381 to POUDRE VALLEY MEDICAL GROUP, LLC on January 22, 2021. 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 ASPEN CREEK MEDICAL CENTER. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jul 15, 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
1306436381
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
Other Name: UCHEALTH ASPEN CREEK MEDICAL CENTER
Other name(s)
All associated names:
Other Name
UCHEALTH ASPEN CREEK MEDICAL CENTER
Doing Business As (dba)
UCHealth Medical Group
Primary location
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920-7923
Phone: (719) 278-3627 Fax: (719) 623-2101
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: (719) 278-3627 Fax: (719) 623-2101
Organization Subpart
Yes - POUDRE VALLEY MEDICAL GROUP, LLC is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (719) 278-3627
Updated
Certification Date
Jul 15, 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
208D00000X
- General Practice (Primary)
261Q00000X
- Clinic/Center

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.