Poudre Valley Medical Group, Llc, NPI 1538790704
Cardiovascular Disease Physician in Sidney, NE, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538790704
NPI Entity Type Organization
Provider Name Poudre Valley Medical Group, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1000 Pole Creek Xing, Sidney, NE, US
Provider Mailing Address 2695 Rocky Mountain Ave Ste 150, Loveland, CO, US, 805389071
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jana Conroy
Official Position CREDENTIALING MANAGER
Phone 970-624-4443

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.
Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other Organization Name

UCHealth Medical Group
Doing Business As

Business Address

Poudre Valley Medical Group, Llc
1000 Pole Creek Xing

Sidney, NE, US

Phone: 308-254-8525
Fax: 308-254-4003

Mailing Address

Poudre Valley Medical Group, Llc
2695 Rocky Mountain Ave Ste 150
Loveland, CO, US
ZIP 805389071
Phone: 308-254-8525
Fax: 308-254-4003

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RC0001X

Allopathic & Osteopathic Physicians

Internal Medicine

No

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