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Poudre Valley Medical Group, LLC

General Practice Physician in Colorado Springs, CO · enumerated 2021 · authorized official Jana Conroy, Director of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114598737

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Other name <Unavail>
Parent organization Poudre Valley Medical Group, LLC
Practice address 1400 E Boulder St Ste 2410, Colorado Springs, CO, 80909
Phone (719) 365-6525
Fax (719) 365-5831
Enumeration date Jul 6, 2021
Last updated in NPPES May 29, 2024

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jana Conroy
Title Director of Credentialing
Phone (719) 365-6525

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-29. Verify at npiregistry.cms.hhs.gov.
Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Colorado Springs, CO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-29.