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GRAND VALLEY PRIMARY CARE III
NPI 1114564952
Family Medicine in Grand Jct, CO

Active since November 27, 2019CLIA 06D2074219 · Microscopy
2478 PATTERSON RD STE 27, GRAND JCT, CO 81505(970) 644-4300(970) 263-4323 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2021, Apr 24, 2020, Nov 27, 2019 (3 updates tracked since 2019).

About Grand Valley Primary Care Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND VALLEY PRIMARY CARE III (NPI 1114564952) is a healthcare organization registered as a family medicine in Grand Jct, Colorado and active in the NPI registry since November 2019. The organization holds a CLIA Microscopy certificate valid through November 30, 2026, maintains a secondary practice location in Grand Junction, and lists Christian Thomas, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1114564952
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY MEDICAL GROUP, LLC
Location Address2478 PATTERSON RD STE 27Grand Jct, CO 81505-3606
Mailing AddressPo Box 1727Grand Junction, CO 81502-1727 · (970) 644-4300 · Fax (970) 263-4323
Phone(970) 644-4300
Fax(970) 263-4323
Organization SubpartNo
Authorized OfficialChristian ThomasPresident/ceo · (970) 644-3011
Enumeration DateNovember 27, 2019
Last NPPES UpdateApril 12, 20213 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1114564952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2478 PATTERSON RD STE 27, Grand Jct, CO 81505
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Other Names 1

Doing Business AsGrand Valley Primary Care Iii

Secondary Practice Location 1

Location 12373 G Rd Ste 160Grand Junction, CO 81505-1003 · Phone (970) 644-4300 · Fax (970) 263-2692

Other Identifiers 1

Medicaid9000159153CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2074219

Grand Valley Primary Care - III · Grand Junction, CO
Active · expires Nov 30, 2026
CLIA Number06D2074219
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. Tiffany Smith
Laboratory Phone(970) 644-4300
Laboratory LocationGrand Valley Primary Care - III2478 Patterson, Unit 27, Grand Junction, CO 81505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY SMITH MD
Family Medicine
2478 PATTERSON RD STE 27
GRAND JUNCTION, CO 81505
Mesa County (970) 644-4300
DR. KALA GRIFFITH MD
Family Medicine
2478 PATTERSON RD STE 27
GRAND JUNCTION, CO 81505
Mesa County (970) 644-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Medical Group, LLC's NPI number?

The NPI number for Community Medical Group, LLC is 1114564952. It was assigned to this organization in the NPPES registry on November 27, 2019. The provider is doing business as Grand Valley Primary Care III.

Where is Community Medical Group, LLC located?

Community Medical Group, LLC is located at 2478 Patterson Rd Ste 27, Grand Jct, CO 81505. The listed phone number is (970) 644-4300.

What is Community Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Community Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2074219) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Medical Group, LLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.