COMMUNITY MEDICAL GROUP LLC NPI 1437690302

NPI Information

NPI: 1437690302
Provider Name: COMMUNITY MEDICAL GROUP, LLC

Doing Business As: GRAND VALLEY WOMEN'S HEALTH SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
688 23 1/2 ROAD
SUITE 304
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 644-3190
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COMMUNITY MEDICAL GROUP, LLC is a specialist in Grand Junction, 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 MEDICAL GROUP, LLC NPI is 1437690302. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grand Valley Women's Health Specialists.

The provider's business location address is:

688 23 1/2 ROAD
SUITE 304
GRAND JUNCTION, CO
ZIP 81505-904
Phone: (970) 644-3190
Fax: (970) 644-3965

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 3/13/2017 and was last updated on 1/31/2024.

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
1	174400000X	Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000151916	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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