NPI 1700417391 · live from the CMS NPI Registry
Poudre Valley Medical Group, LLC
Internal Medicine, Cardiovascular Disease in Scottsbluff, NE. National Provider Identifier 1700417391, active.
NPI record
| NPI | 1700417391 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 2 W 42nd St Ste 1300, Scottsbluff, NE 69361 |
| Practice phone | 308-630-2626 |
| Mailing address | 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538 |
| Enumerated | February 1, 2020 |
| Last updated | August 5, 2024 |
| Authorized official | Jana Conroy, Director Of Credentialing |
| Other names | Uchealth Medical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
| Internal Medicine, Clinical Cardiac Electrophysiology | 207RC0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.