POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1437621356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437621356 |
Entity Type | Organization |
Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
Other Organization Name | UCHEALTH URGENT CARE - QUINCY |
Practice Address |
16951 E Quincy Ave Aurora CO 80015-1963 |
Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
Practice Telephone | 3037525480 |
Practice Fax Number | 3037525481 |
Mailing Telephone | 3037525480 |
Mailing Fax Number | 3037525481 |
Enumeration Date | 2018-12-18 |
Last Update Date | 2019-12-23 |
Authorized Official Name | JANA CONROY (CREDENTIALING MANAGER) |
Authorized Official Telephone | 9706244443 |
Authorized Official Credential | MBA, RHIA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UCHealth Medical Group | Doing Business As Name - Organization |
UCHealth Urgent Care - Quincy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350476 | Poudre Valley Medical Group, LLC | Urology | 2315 E Harmony Rd Ste 140, Fort Collins, CO 80528-8620 | 2020-09-15 |
1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
1104439322 | Poudre Valley Medical Group, LLC | Radiology | 525 Bob Peters Grv Ste 100, Colorado Springs, CO 80909-4533 | 2020-08-27 |
1932712155 | Poudre Valley Medical Group, LLC | Internal Medicine | 940 Central Park Dr Ste 290, Steamboat Springs, CO 80487-8853 | 2020-08-27 |
1033722376 | Poudre Valley Medical Group, LLC | Family Medicine | 15854 Jackson Creek Pkwy Unit 120, Monument, CO 80132-8663 | 2020-08-26 |
1285247866 | Poudre Valley Medical Group, LLC | Physical Therapist | 6767 29th St Fl 1, Greeley, CO 80634-5474 | 2020-08-25 |
1932711868 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 100 Cook St Ste 210, Denver, CO 80206-5328 | 2020-08-21 |
1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Poudre Valley Medical Group, LLC | 2695 Rocky Mountain Ave., Suite 110, Loveland, CO 80538 |
Street Address |
16951 E QUINCY AVE |
City | AURORA |
State | CO |
Zip Code | 80015-1963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568786465 | Kartik Patel | Internal Medicine | 16951 E Quincy Ave, Aurora, CO 80015 | 2010-03-22 |
1629681960 | Poudre Valley Medical Group, LLC | Family Medicine | 16951 E Quincy Ave, Aurora, CO 80015-1901 | 2020-08-26 |
1245758648 | Mandy Muchineripi | Nurse Practitioner | 16951 E Quincy Ave, Aurora, CO 80015-1901 | 2017-09-06 |
1124447420 | Elizabeth Belson | Family Medicine | 16951 E Quincy Ave, Aurora, CO 80015 | 2014-04-15 |
1700204567 | John Giles Prucha | Family Medicine | 16951 E Quincy Ave, Aurora, CO 80015-1901 | 2014-03-30 |
1376887158 | Tara Diane Salamat | Physician Assistant | 16951 E Quincy Ave, Aurora, CO 80015 | 2012-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
Find all providers in zip 80015 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598293185 | Rocky Mountain Physicians Group, PC | Clinic/Center | 7460 S Gartrell Rd, Aurora, CO 80016 | 2017-05-26 |
1104241256 | American Current Care Pa | Clinic/Center | 15235 E. 38th Avenue, Aurora, CO 80011 | 2014-02-26 |
1861718306 | Highlands Ranch Healthcare LLC | Clinic/Center | 15490 E Smoky Hill Rd, Aurora, CO 80015-1494 | 2010-04-08 |
1396706693 | Rocky Mountain Urgent Care, LLC | Clinic/Center | 13650 East Mississippi Ave, Suite 100b, Aurora, CO 80012 | 2006-03-28 |
1255949681 | Colorado Urgent Care Pllc | Clinic/Center | 18890 E Hampden Ave, Aurora, CO 80013-3504 | 2020-07-22 |
1871120295 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-25 |
1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
1821646803 | Pahs Onpoint Urgent Care LLC | Clinic/Center | 24300 E Smoky Hill Rd Unit 120, Aurora, CO 80016-1387 | 2019-09-03 |
1154824779 | Rocky Mountain Physicians Group, PC | Clinic/Center | 1677 S Havana St, Aurora, CO 80012-5007 | 2018-03-09 |
1295262590 | Rocky Mountain Physicians Group, PC | Clinic/Center | 6482 S Parker Rd, Aurora, CO 80016-1080 | 2017-05-17 |
Find all providers in AURORA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.