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COMMUNITY MEDICAL GROUP LLC NPI 1700417425


NPI Information

NPI: 1700417425
Provider Name: COMMUNITY MEDICAL GROUP, LLC

Doing Business As: SURGICAL ASSOCIATES OF THE GRAND VALLEY RANGELY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
225 EAGLE CREST DR
RANGELY, CO
ZIP 81648
Phone: (970) 243-9340
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COMMUNITY MEDICAL GROUP, LLC is a specialist in Rangely, 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 1700417425. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surgical Associates Of The Grand Valley Rangely.

The provider's business location address is:

225 EAGLE CREST DR
RANGELY, CO
ZIP 81648-105
Phone: (970) 243-9340
Fax: (970) 241-6894

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 1/31/2020 and was last updated on 1/30/2023.


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
1207Q00000XFamily MedicineNo
2208600000XSurgeryNo
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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