POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1508322496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508322496 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH PRIMARY CARE - CRIPPLE CREEK |
| Practice Address |
1101 County Road 1 Cripple Creek CO 80813-8909 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7196897763 |
| Practice Fax Number | 7196895704 |
| Mailing Telephone | 7196897763 |
| Mailing Fax Number | 7196895704 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-12-21 |
| Authorized Official Name | JANA CONROY (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9706244443 |
| Authorized Official Credential | MBA, RHIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UCHealth Medical Group | Doing Business As Name - Organization |
| UCHealth Primary Care - Cripple Creek | 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 |
1101 COUNTY ROAD 1 |
| City | CRIPPLE CREEK |
| State | CO |
| Zip Code | 80813-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518463 | Colorado Springs Radiologists PC | Radiology | 1101 County Road 1, Cripple Creek, CO 80813-8909 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
| 1043756133 | Amy Terry | Registered Nurse | 308 East Eaton Ave, Cripple Creek, CO 80813 | 2017-01-12 |
| 1093174930 | Alessandra Marie Bullis | Nurse Practitioner | 412 N C St, Cripple Creek, CO 80813 | 2016-02-21 |
| 1144685918 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 166 E Bennett Ave, Cripple Creek, CO 80813 | 2015-12-22 |
| 1164768164 | Carla Young | Massage Therapist | 151 E. Bennett Ave., Cripple Creek, CO 80813 | 2012-12-19 |
| 1487968244 | Nicole Leadley | Dentist | 1101 Teller County Road 1, Cripple Creek, CO 80813 | 2010-08-03 |
| 1457514036 | Kurt A Wever Md PC | Family Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2008-07-03 |
| 1497800668 | Southwest Teller County Emergency Medical Services | Ambulance | 147 E. Bennett Avenue, Cripple Creek, CO 80813 | 2007-01-25 |
| 1306819453 | Robert Paul Reid | Family Medicine | 1101 County Rd 1, Cripple Creek, CO 80813 | 2006-02-09 |
| 1184614828 | Lorraine Gwen Grube | Physician Assistant | 412 North C Street, Cripple Creek, CO 80813 | 2005-10-25 |
| Find all providers in zip 80813 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | CRIPPLE CREEK |
| Zip Code | 80813 |
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.