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COMMUNITY MEDICAL GROUP LLC NPI 1881231660


NPI Information

NPI: 1881231660
Provider Name: COMMUNITY MEDICAL GROUP, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 06D1095706

Address:
1060 ORCHARD AVE UNIT N
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 644-3740
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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 1881231660. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1060 ORCHARD AVE UNIT N
GRAND JUNCTION, CO
ZIP 81501-997
Phone: (970) 644-3740
Fax: (970) 644-3763

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 CLIA number assigned to this NPI record is 06D1095706 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/29/2019 and was last updated on 1/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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: 4/28/2024

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