| Poudre Valley Medical Group, Llc | |
|
5965 Firestone Blvd Bldg B Firestone CO 80504-6607 | |
| (720) 652-7055 | |
| (720) 652-7056 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 5965 Firestone Blvd Bldg B, Firestone, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7206527055 |
| 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 5965 Firestone Blvd Bldg B Firestone CO 80504-6607 Ph: (720) 652-7055 |
| NPI Number | 1245859842 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245859842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Intermountain Medical Group Denver, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8350 Colorado Blvd Unit 160, Firestone, CO 80504 Phone: 303-689-5160 Fax: 303-689-5175 | |
Nurses, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8310 Colorado Blvd Ste 500, Firestone, CO 80504 Phone: 720-535-8748 Fax: 855-855-2053 |