| Name: | Poudre Valley Medical Group, LLC |
| Jurisdiction: | Colorado |
| Legal type: | Domestic limited liability company |
| Status: | Good Standing |
| Date of registration: | 02 Feb 2009 (16 years ago) |
| Entity Number: | 20091069261 |
| ZIP code: | 80538 |
| County: | Larimer County |
| Place of Formation: | COLORADO |
| Principal Address: | 2695 Rocky Mountain Ave. Suite 110 Loveland CO 80538 US |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VUN2D61B8257 | 2025-03-19 | 2315 E HARMONY RD STE 200, FORT COLLINS, CO, 80528, 8620, USA | 2315 E HARMONY RD STE 200, FORT COLLINS, CO, 80528, 8620, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | http://www.uchealth.org |
| Congressional District | 02 |
| State/Country of Incorporation | CO, USA |
| Activation Date | 2024-03-21 |
| Initial Registration Date | 2013-09-25 |
| Entity Start Date | 2009-02-01 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 622110, 623220 |
| Product and Service Codes | Q701 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KARIN WINGFIELD |
| Role | MANAGER PAYER RELATIONS |
| Address | 2315 E. HARMONY RD. SUITE 200, FORT COLLINS, CO, 80528, USA |
| Title | ALTERNATE POC |
| Name | PAM MORGAN |
| Role | HEALTHCARE ACCOUNT SPECIALIST SR. |
| Address | 2315 E. HARMONY RD. SUITE 200, FORT COLLINS, CO, 80528, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KARIN WINGFIELD |
| Role | MANAGER PAYER RELATIONS |
| Address | 2315 E. HARMONY RD. SUITE 200, FORT COLLINS, CO, 80528, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | JEN SCHON |
| Role | MANAGER PAYER RELATIONS |
| Address | 2315 E. HARMONY RD. SUITE 200, FORT COLLINS, CO, 80528, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6ZSM8 | Active | Non-Manufacturer | 2013-10-11 | 2024-03-21 | 2029-03-21 | 2025-03-19 | |||||||||||||||
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| POC | KARIN WINGFIELD |
| Phone | +1 970-237-7123 |
| Fax | +1 970-213-2340 |
| Address | 2315 E HARMONY RD STE 200, FORT COLLINS, CO, 80528 8620, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20241165267 | File Report | 2024-02-07 | 2024-02-07 | No data | Principal address changed |
| 20231137799 | File Report | 2023-02-01 | 2023-02-01 | No data | Principal address changed |
| 20221362408 | File Report | 2022-04-07 | 2022-04-07 | No data | No data |
| 20211252540 | File Report | 2021-03-15 | 2021-03-15 | No data | No data |
| 20201693732 | Statement of Change Changing the Registered Agent Information | 2020-08-11 | 2020-08-11 | No data | Registered agent information changed; |
| 20201167678 | File Report | 2020-02-24 | 2020-02-24 | No data | No data |
| 20191165571 | File Report | 2019-02-25 | 2019-02-25 | No data | No data |
| 20181150720 | File Report | 2018-02-23 | 2018-02-23 | No data | Change of Entity Address |
| 20171098762 | Amend and Restate Articles of Organization for an LLC | 2017-02-02 | 2017-02-02 | No data | No data |
| 20171064412 | File Report | 2017-01-24 | 2017-01-24 | No data | No data |
Date of last update: 13 Jan 2025
Sources: Colorado's Secretary of State
