NPI Index

POUDRE VALLEY MEDICAL GROUP, LLC

General Practice

Active Organization
NPI: 1710593611

Practice Address

1024 S LEMAY AVE
Fort Collins, CO 80524

Phone: (970) 495-8440

Specialties

Specialty Code Primary License
Registered Nurse - Wound Care 163WW0000X No -
Internal Medicine - Hospice and Palliative Medicine 207RH0002X No -
Clinic/Center 261Q00000X No -
Clinic/Center - Emergency Care 261QE0002X No -
Hospitalist 208M00000X No -
Physical Medicine & Rehabilitation 208100000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Social Worker - Clinical 1041C0700X No -
Psychiatry & Neurology - Psychiatry 2084P0800X No -
Nurse Practitioner - Neonatal 363LN0000X No -
General Practice 208D00000X Yes -

Frequently Asked Questions

NPI 1710593611 is the National Provider Identifier for POUDRE VALLEY MEDICAL GROUP, LLC, a General Practice provider located in Fort Collins, CO. This NPI was enumerated on September 17, 2020.

Quick Facts

NPI
1710593611
Type
Organization
Enumerated
Sep 17, 2020
Last Updated
Dec 8, 2025

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