Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Poudre Valley Medical Group, LLC

Organization Family Medicine Physician · NPI 1255918058

Poudre Valley Medical Group, LLC provides Family Medicine Physician services in Longmont, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

601 S Main St
Longmont, CO 80501-6427
Phone: (720) 718-8410
Fax: (720) 718-8999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255918058
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 718-8410
Other names Uchealth Primary Care - Ken Pratt Blvd
NPI enumeratedMarch 26, 2021
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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