Poudre Valley Medical Group, LLC
NPI 1366763260ActiveOrganization· General Practice· Loveland, CO
General Practice in Loveland, Colorado, registered in NPPES in June 2010. The authorized official on file is Jana Conroy, RHIA, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1366763260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2010 |
| Last updated in NPPES | Nov 19, 2019 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (WY) |
|---|
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