POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1891250965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891250965 |
Entity Type | Organization |
Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
Other Organization Name | UCHEALTH URGENT CARE - GREELEY |
Practice Address |
1900 16th St Greeley CO 80631-5114 |
Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
Practice Telephone | 9706522127 |
Practice Fax Number | 9706522447 |
Mailing Telephone | 9706522127 |
Mailing Fax Number | 9706522447 |
Enumeration Date | 2019-02-04 |
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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 53820053 | 05 |
Other Name | Type Code |
---|---|
UCHealth Medical Group | Doing Business As Name - Organization |
UCHealth Urgent Care - Greeley | 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 |
1900 16TH ST |
City | GREELEY |
State | CO |
Zip Code | 80631-5114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356349823 | Marcus Reinhardt | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2005-07-08 |
1750905527 | Poudre Valley Medical Group, LLC | Preventive Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-06-08 |
1134743503 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 1900 16th St, Greeley, CO 80631-5114 | 2020-06-02 |
1336761436 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-05-12 |
1144842261 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-05-12 |
1134748742 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-04-14 |
1013576370 | Medical Center of The Rockies | Clinic/Center | 1900 16th St, Greeley, CO 80631-5114 | 2019-06-11 |
1205357795 | Kelley Stromer | Pharmacist | 1900 16th St, Greeley, CO 80631-5114 | 2017-07-05 |
1023560034 | Kathryn Milizio | Physician Assistant | 1900 16th St, Greeley, CO 80631-5114 | 2016-10-26 |
1801265350 | Hebah Refaat | Nurse Practitioner | 1900 16th St, Greeley, CO 80631-5114 | 2015-09-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
Find all providers in zip 80631 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447868880 | Colorado Urgent Care Pllc | Clinic/Center | 1011 39th Ave Ste A, Greeley, CO 80634-2504 | 2020-07-22 |
1679055438 | Banner Urgent Care Colorado | Clinic/Center | 2015 35th Ave, Greeley, CO 80634-3911 | 2018-08-29 |
1902316995 | Banner Urgent Care Colorado | Clinic/Center | 2001 70th Ave Ste 110, Greeley, CO 80634-4628 | 2017-10-04 |
1972055614 | Next Door Urgent Care LLC | Clinic/Center | 2015 35th Ave, Greeley, CO 80634-3911 | 2016-10-28 |
1659649721 | Banner Health Physicians Colorado LLC | Clinic/Center | 2001 70th Ave Ste 110, Greeley, CO 80634-4628 | 2011-12-05 |
1497045181 | Big Thompson Medical Group Inc. | Clinic/Center | 2001 70th Ave, Suite 110, Greeley, CO 80634-4621 | 2011-04-14 |
1992018113 | Banner Medical Group Greeley LLC | Clinic/Center | 2001 70th Ave, Suite 110, Greeley, CO 80634-4621 | 2010-07-16 |
1376747972 | Gregory D. Denzel, Do | Clinic/Center | 2928 W 10th St, Greeley, CO 80634-5426 | 2007-06-14 |
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---|---|---|---|---|
1548869969 | Afterours Inc | Clinic/Center | 4500 W 38th Ave Ste 220, Denver, CO 80212-2005 | 2020-10-19 |
1992304315 | Afterours Inc | Clinic/Center | 101 W Mineral Ave Ste 105, Littleton, CO 80120-4500 | 2020-10-19 |
1104436278 | Urgent Care Lakewood Inc | Clinic/Center | 2616 E 120th Ave, Thornton, CO 80233-1412 | 2020-08-04 |
1770192502 | Catholic Health Initiatives Colorado | Clinic/Center | 17230 Jackson Creek Pkwy Ste 120, Monument, CO 80132-7302 | 2020-07-28 |
1508483413 | Medventures, Pllc | Clinic/Center | 7280 Lagae Rd Ste I, Castle Pines, CO 80108-9454 | 2020-06-26 |
1467078014 | Colorado Mountain Medical, LLC | Clinic/Center | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
1861024101 | Catholic Health Initiatives Colorado | Clinic/Center | 4943 Hwy 52, Frederick, CO 80514 | 2020-02-05 |
1881225514 | Catholic Health Initiatives Colorado | Clinic/Center | 16320 W 64th Ave, Arvada, CO 80007-7415 | 2020-01-31 |
1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
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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.