POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1942766027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942766027 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH URGENT CARE - ARVADA WEST |
| Practice Address |
15240 W 64th Ave Arvada CO 80007-7511 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 3034637185 |
| Practice Fax Number | 3034637186 |
| Mailing Telephone | 3034637185 |
| Mailing Fax Number | 3034637186 |
| Enumeration Date | 2019-02-14 |
| 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 |
| Other Name | Type Code |
|---|---|
| UCHealth Medical Group | Doing Business As Name - Organization |
| UCHealth Urgent Care - Arvada West | 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 |
15240 W 64TH AVE |
| City | ARVADA |
| State | CO |
| Zip Code | 80007-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225270135 | Lisa My Nguyen | Family Medicine | 15240 W 64th Ave, Arvada, CO 80007-7511 | 2009-03-25 |
| 1033722491 | Poudre Valley Medical Group, LLC | Family Medicine | 15240 W 64th Ave, Arvada, CO 80007-7511 | 2020-08-26 |
| 1356831218 | University of Colorado Hospital Authority | Clinic/Center | 15240 W 64th Ave, Arvada, CO 80007-7511 | 2018-05-16 |
| 1700229382 | Jennifer Eaton | Physician Assistant | 15240 W 64th Ave, Arvada, CO 80007-7511 | 2013-04-12 |
| 1457612848 | Amanda O'steen Babcock | Family Medicine | 15240 W 64th Ave, Arvada, CO 80007-7511 | 2012-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699280750 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 14967 Candelas Pkwy, Arvada, CO 80007 | 2017-12-11 |
| 1306220603 | Chic/larkin Ventures, LLC | Clinic/Center | 16320 West 64th Avenue, Arvada, CO 80007 | 2015-07-16 |
| 1053574723 | Tarrah Lynn Bobay Cooper | Nurse Anesthetist, Certified Registered | 8640 Zircon Way, Arvada, CO 80007 | 2008-07-03 |
| 1275685547 | Kerry Anne Derrick | Marriage & Family Therapist | 7724 Terry Court, Arvada, CO 80007 | 2007-01-17 |
| 1649206111 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 15200 W 64th Ave, Arvada, CO 80007 | 2006-06-24 |
| 1417446279 | Arvada Dental Excellence PC | Dentist | 15530 W 64th Ave, Unit J, Arvada, CO 80007 | 2018-05-08 |
| 1447267216 | Stanley D Crawford | Dentist | 16205 W 64th Ave, Ste 101, Arvada, CO 80007 | 2006-08-02 |
| 1215215249 | Nishma Shirish Shah | Dentist | 14807 W 64th Ave Unit C, Arvada, CO 80007-0104 | 2011-07-25 |
| 1558521955 | Tjark Ryan Beaven | Dentist | 14807 W 64th Ave, Suite C, Arvada, CO 80007-0104 | 2008-06-10 |
| 1336669753 | Jameson Ribbens | Dentist | 14807 W 64th Ave Unit C, Arvada, CO 80007-0104 | 2017-06-27 |
| Find all providers in zip 80007 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881225514 | Catholic Health Initiatives Colorado | Clinic/Center | 16320 W 64th Ave, Arvada, CO 80007-7415 | 2020-01-31 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1548703226 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 14575 W 64th Ave, A, Arvada, CO 80004-3546 | 2016-11-29 |
| 1306220603 | Chic/larkin Ventures, LLC | Clinic/Center | 16320 West 64th Avenue, Arvada, CO 80007 | 2015-07-16 |
| 1144251976 | Colorado Urgent Care Pllc | Clinic/Center | 7380 W 52nd Ave, Ste I, Arvada, CO 80002-3708 | 2006-07-06 |
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| 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 |
| 1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
| 1265080246 | Pahs Onpoint Urgent Care LLC | Clinic/Center | 9695 S Yosemite St Ste 150, Lone Tree, CO 80124-2891 | 2019-09-03 |
| Find all providers with the same taxonomy | ||||
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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.