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

NPI Status: Active since November 27, 2019

Contact Information

2478 PATTERSON RD STE 27
GRAND JCT, CO
ZIP 81505
Phone: (970) 644-4300
Fax: (970) 263-4323

Get Directions Reviews

  • Organization
  • Family Medicine
  • CLIA Number: 06D2074219
  • CLIA Cert. Type: PPMP
  • CLIA Exp. Date: 11-30-2024

About GRAND VALLEY PRIMARY CARE III

Grand Valley Primary Care Iii is a primary care provider established in Grand Jct, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114564952 assigned on November 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Grand Valley Primary Care Iii. The authorized official of this NPI record is Christian Thomas (President/ceo)

NPI
1114564952
Provider Legal Name
COMMUNITY MEDICAL GROUP, LLC
Other Organization Name
GRAND VALLEY PRIMARY CARE III
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2478 PATTERSON RD STE 27 GRAND JCT, CO 81505
Location Phone
(970) 644-4300
Location Fax
(970) 263-4323
Mailing Address
PO BOX 1727 GRAND JUNCTION, CO 81502
Mailing Phone
(970) 644-4300
Mailing Fax
(970) 263-4323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2019
Last Update Date
04-12-2021
Code Navigator

A primary care provider (PCP) like Grand Valley Primary Care Iii sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Location Map

Secondary Locations

  • 2373 G Rd Ste 160
    Grand Junction, CO 81505
    (970) 644-4300

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTIAN THOMAS

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(970) 644-3011

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9000159153MEDICAID (05)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2074219
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
December 01, 2022
Certificate Expiration Date
November 30, 2024
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Grand Valley Primary Care Iii in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for GRAND VALLEY PRIMARY CARE III

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114564952
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241068910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 6 + 8 + 9 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114564952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235797713 TIFFANY SMITH MD
Individual
Family Medicine2478 PATTERSON RD STE 27
GRAND JUNCTION, CO 81505
(970) 644-4300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114564952, enumerated in the NPI registry as an "organization" on November 27, 2019

The provider is located at 2478 Patterson Rd Ste 27 Grand Jct, Co 81505 and the phone number is (970) 644-4300

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 06D2074219 for a "ancillary testing site in health care center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on November 27, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.