| Poudre Valley Medical Group, Llc | |
|
1335 Grand Market Ave Unit 110 Berthoud CO 80513-2779 | |
| (970) 674-4920 | |
| Not Available |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1335 Grand Market Ave Unit 110, Berthoud, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9706744920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poudre Valley Medical Group, Llc 2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | Poudre Valley Medical Group, Llc 1335 Grand Market Ave Unit 110 Berthoud CO 80513-2779 Ph: (970) 674-4920 |
| NPI Number | 1043039043 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043039043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Big Thompson Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 10th St, Berthoud, CO 80513 Phone: 970-532-4910 | |
New Paradigm Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 7th St, Berthoud, CO 80513 Phone: 970-775-3517 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 10th St, Berthoud, CO 80513 Phone: 970-532-4910 | |
Longmont United Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Mountain Avenue, Berthoud, CO 80513 Phone: 970-532-4644 Fax: 970-532-0608 |