POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1447724505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447724505 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH URGENT CARE - POWERS |
| Practice Address |
4323 Integrity Center Pt Colorado Springs CO 80917-1683 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7195912558 |
| Practice Fax Number | 7195912596 |
| Mailing Telephone | 7195912558 |
| Mailing Fax Number | 7195912596 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | JANA CONROY (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9706244443 |
| Authorized Official Credential | 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 58135065 | 05 |
| Other Name | Type Code |
|---|---|
| UCHealth Medical Group | Doing Business As Name - Organization |
| UCHealth Urgent Care - Powers | 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 |
4323 INTEGRITY CENTER PT |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356328454 | Lori L Japp | Physician Assistant | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2005-12-29 |
| 1104440973 | Poudre Valley Medical Group, LLC | Preventive Medicine | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2020-06-08 |
| 1437657640 | Krystal Rockhold | Nurse Practitioner | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2018-01-23 |
| 1407363633 | Jayme Eatough | Physician Assistant | 4323 Integrity Center Pt, Colorado Springs, CO 80917 | 2018-01-09 |
| 1588929913 | Crystal Michealson | Physician Assistant | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2012-07-11 |
| 1346514163 | Emily Kristen Burns | Preventive Medicine | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2012-02-24 |
| 1023259025 | Integrity Urgent Care | Non-Pharmacy Dispensing Site | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2009-03-20 |
| 1912189788 | Integrity Urgent Care, P.C. | Clinic/Center | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2007-12-03 |
| 1902025935 | Edwin L Baca | Family Medicine | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2007-04-25 |
| 1588703904 | Jean-luc Francois Houlne | Physician Assistant | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2007-02-05 |
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| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| 1073172201 | Uch-mhs | Clinic/Center | 2767 Janitell Rd., Colorado Springs, CO 80906-4102 | 2019-06-11 |
| 1235585845 | Emergency Medicine Doctors of Colorado Springs, P.C. | Clinic/Center | 4194 Royal Pine Dr, Suite 100, Colorado Springs, CO 80920-1507 | 2016-05-12 |
| 1962691873 | American Current Care Pa PC | Clinic/Center | 5320 Mark Dabing Blvd, Bldg 7 Suite 100, Colorado Springs, CO 80918 | 2007-10-16 |
| 1790974608 | American Current Care Pa PC | Clinic/Center | 2322 South Academy Blvd., Colorado Springs, CO 80916-2406 | 2007-10-16 |
| 1942815246 | Poudre Valley Medical Group, LLC | Clinic/Center | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2020-09-14 |
| 1720698830 | Catholic Health Initiatives Colorado | Clinic/Center | 1263 Lake Plaza Dr Ste 120, Colorado Springs, CO 80906-3510 | 2020-08-04 |
| 1851935753 | Comfort Care Family Practice, PC | Clinic/Center | 6530 S Academy Blvd Ste 105, Colorado Springs, CO 80906-8635 | 2019-11-04 |
| 1043854946 | Comfort Care Family Practice, PC | Clinic/Center | 402 Garden of The Gods Rd, Colorado Springs, CO 80907-4218 | 2019-11-04 |
| 1538633698 | Poudre Valley Medical Group, LLC | Clinic/Center | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2019-01-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on POUDRE VALLEY MEDICAL GROUP, LLC.
| 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.