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Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician in Pueblo, CO · enumerated 2025 · authorized official Jana Conroy, Director of Credentialing.

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

National Provider Identifier

1629863709

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Parent organization Poudre Valley Medical Group, LLC
Practice address 1401 Court St, Pueblo, CO, 81003
Fax (719) 543-4963
Enumeration date Apr 10, 2025
Last updated in NPPES Apr 10, 2025

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

What type of organization is Poudre Valley Medical Group, LLC?
Poudre Valley Medical Group, LLC is registered in NPPES as a Cardiovascular Disease Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-10.