<Unavail>
LBN: Poudre Valley Medical Group, Llc
<Unavail> is an health care organization with primary practice located at 1035 Garden Of The Gods Rd Ste 120 , Colorado Springs CO 80907-3416. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty.
Poudre Valley Medical Group, Llc can be contacted via phone (719) 365-3200, or through Conroy, Jana via phone (719) 591-2558.
Contact Information
Primary practice address
1035 Garden Of The Gods Rd Ste 120
Colorado Springs CO 80907-3416
Phone: (719) 365-3200
Fax: (719) 365-7680
Website:
Authorized official contact:
Name: Conroy, Jana Registered Health Information Administrator (RHIA)
Phone: (719) 591-2558
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1538633698 |
|---|---|
| LBN Legal business name | Poudre Valley Medical Group, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Conroy, Jana Registered Health Information Administrator (RHIA) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 11th, 2019 |
| Last updated | Oct 13th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538633698 | NPPES |
| Colorado | MEDICAID | 68135076 |
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