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COMMUNITY SPECIALTY GROUP LLC NPI 1356066765


NPI Information

NPI: 1356066765
Provider Name: COMMUNITY SPECIALTY GROUP LLC

Doing Business As: GRAND VALLEY THORACIC/VASCULAR

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2373 G RD STE 160
GRAND JCT, CO
ZIP 81505
Phone: (970) 242-7292
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COMMUNITY SPECIALTY GROUP LLC is a specialist in Grand Jct, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COMMUNITY SPECIALTY GROUP LLC NPI is 1356066765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand Valley Thoracic/vascular.

The provider's business location address is:

2373 G RD STE 160
GRAND JCT, CO
ZIP 81505-003
Phone: (970) 242-7292
Fax: (970) 644-3915

The provider's authorized official is Christian Thomas .
The authorized official title is President/ceo and has the following contact phone number (970) 644-3011.

The enumeration date for this NPI number is 10/7/2022 and was last updated on 11/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
2208VP0014XPain MedicineInterventional Pain MedicineNo
3174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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