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Poudre Valley Medical Group, LLC

General Practice Physician in Loveland, CO · enumerated 2010 · authorized official Jana Conroy, Credentialing Manager.

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

National Provider Identifier

1366763260

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Other name <Unavail>
Practice address 2695 Rocky Mountain Ave, Suite 150, Loveland, CO, 80538
Fax (970) 624-4459
Enumeration date Jun 15, 2010
Last updated in NPPES Nov 19, 2019

Taxonomy & classification

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QE0002X Emergency Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jana Conroy
Title Credentialing Manager

Other identifiers

Identifier Type State Issuer
130638300 Medicaid WY -
53D0519664 Other WY CLIA PVMG CHEYENNE MEDICAL SPECIALISTS
69906874 Medicaid CO -
10025926100 Medicaid NE -
674844 Medicaid AZ -

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

Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Loveland, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-11-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-19.