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COMMUNITY MEDICAL GROUP LLC NPI 1477190726


NPI Information

NPI: 1477190726
Provider Name: COMMUNITY MEDICAL GROUP, LLC

Doing Business As: GRAND VALLEY BEHAVIORAL HEALTH

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2020 N 12TH ST
GRAND JCT, CO
ZIP 81501
Phone: (970) 644-4220
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COMMUNITY MEDICAL 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 MEDICAL GROUP, LLC NPI is 1477190726. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand Valley Behavioral Health.

The provider's business location address is:

2020 N 12TH ST
GRAND JCT, CO
ZIP 81501-914
Phone: (970) 644-4220
Fax: (970) 263-4239

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 12/5/2019 and was last updated on 4/8/2021.


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
2207Q00000XFamily MedicineNo

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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