Poudre Valley Medical Group, LLC
NPI #1124900998 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1124900998
- Entity Type
- Organization
- Organization Name
- Poudre Valley Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- POUDRE VALLEY MEDICAL GROUP, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 23, 2025
- Last Updated
- Nov 25, 2025
Practice Location
- Address
- 1107 S LEMAY AVE STE 100
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-3956
- Phone
- (970) 495-8440
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR CREDENTIALING
- Phone
- (970) 624-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Social Worker - Clinical — Clinical |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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