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Poudre Valley Medical Group, LLC

Family Medicine Physician in Firestone, CO · enumerated 2019 · authorized official Jana Conroy, Director of Credentialing.

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

National Provider Identifier

1194280263

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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 11083 Colorado Blvd, Firestone, CO, 80504
Phone (303) 833-8880
Fax (303) 682-8007
Enumeration date Feb 4, 2019
Last updated in NPPES Jan 2, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jana Conroy
Title Director of Credentialing
Phone (303) 833-8880

Other identifiers

Identifier Type State Issuer
33928215 Medicaid CO -

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 2025-01-02. Verify at npiregistry.cms.hhs.gov.
Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Firestone, CO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-02.