| Poudre Valley Medical Group, Llc | |
|
505 S Burg St Kimball NE 69145-1313 | |
| (308) 235-1953 | |
| (308) 235-1956 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 505 S Burg St, Kimball, Nebraska |
| 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: (308) 235-1953 | Poudre Valley Medical Group, Llc 505 S Burg St Kimball NE 69145-1313 Ph: (308) 235-1953 |
| NPI Number | 1528699113 |
|---|---|
| Provider Enumeration Date | 02/01/2020 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528699113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Kimball County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 W 4th St, Kimball, NE 69145 Phone: 308-235-1951 Fax: 308-235-1955 | |
Kimball High Plains Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 E 2nd St, Kimball, NE 69145 Phone: 970-846-5438 | |
Highpoint Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E 2nd St, Kimball, NE 69145 Phone: 308-235-3601 |