| Poudre Valley Medical Group, Llc | |
|
286 16th St Burlington CO 80807-1651 | |
| (719) 365-6317 | |
| (719) 365-6317 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 286 16th St, Burlington, Colorado |
| Authorized Official Name and Position | Jana Conroy (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9706244443 |
| 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: (719) 365-6317 | Poudre Valley Medical Group, Llc 286 16th St Burlington CO 80807-1651 Ph: (719) 365-6317 |
| NPI Number | 1700494408 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700494408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Health Essentials Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 451 14th St, Burlington, CO 80807 Phone: 719-346-4681 Fax: 719-346-8742 | |
Kit Carson County Health Services District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 182 16th St, Burlington, CO 80807 Phone: 719-346-9481 Fax: 719-346-9485 |