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Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician in Longmont, CO · enumerated 2020 · authorized official Jana Conroy, Director of Credentialing.

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

National Provider Identifier

1336769173

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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 2030 Mountain View Ave Ste 540, Longmont, CO, 80501
Fax (970) 624-1891
Enumeration date Apr 22, 2020
Last updated in NPPES Jul 15, 2024

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jana Conroy
Title Director of Credentialing

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 2024-07-15. Verify at npiregistry.cms.hhs.gov.
Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Longmont, CO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-15.