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TABEGUACHE FAMILY & SPORTS MEDICINE
NPI 1417455403
Family Medicine - Sports Medicine in Grand Junction, CO

Active since January 25, 2018CLIA 06D2104958 · Microscopy
3150 N 12TH ST, GRAND JUNCTION, CO 81506(970) 256-5201(970) 256-5202 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Nov 1, 2021, Dec 20, 2019 (3 updates tracked since 2019).

About Tabeguache Family & Sports Medicine NPPES

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

TABEGUACHE FAMILY & SPORTS MEDICINE (NPI 1417455403) is a healthcare organization registered as a sports medicine in Grand Junction, Colorado and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through November 15, 2027 and lists Beverly J Clark, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1417455403
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NamePRIMARY CARE PARTNERS, INC.
Location Address3150 N 12TH STGrand Junction, CO 81506-2863
Mailing AddressPo Box 10700Grand Junction, CO 81502-5517 · (970) 254-2642
Phone(970) 256-5201
Fax(970) 256-5202
Organization SubpartYes
Authorized OfficialBeverly J ClarkCredentialing Coordinator · (970) 254-2642
Enumeration DateJanuary 25, 2018
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1417455403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3150 N 12TH ST, Grand Junction, CO 81506
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Other Names 1

Other NameTabeguache Family & Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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) 06D2104958

Tabeguache Family And Sports Medicine · Grand Junction, CO
Active · expires Nov 15, 2027
CLIA Number06D2104958
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDr. Dan P. Sullivan
Laboratory Phone(970) 256-5201
Laboratory LocationTabeguache Family And Sports Medicine3150 North 12th Street, Grand Junction, CO 81506
CLIA data matches this NPI record on: Address 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 20

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

CHRISTINA L MOORE OT
Occupational Therapist
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 241-5856
PATRICK HENKE DO
Family Medicine
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-1220
S. CHRISTOPHER WEAVER MD
Family Medicine
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-1220
KENT E SNOWBARGER ED.D
Psychologist (Clinical)
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 242-5707
MOUNTAIN VALLEY REHABILITATION, PC
Clinic/Center (Physical Therapy)
3150 N 12TH ST, GARDEN LEVEL
GRAND JUNCTION, CO 81506
Mesa County (970) 241-5856
GARY A MILLER LCSW
Social Worker (Clinical)
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 242-5707
LACEY R ESTES PA
Physician Assistant
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-9370
VANESSA R CARTER R.D.
Dietitian, Registered
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 255-1576

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 Primary Care Partners, Inc.'s NPI number?

The NPI number for Primary Care Partners, Inc. is 1417455403. It was assigned to this organization in the NPPES registry on January 25, 2018. The provider is also known as Tabeguache Family & Sports Medicine.

Where is Primary Care Partners, Inc. located?

Primary Care Partners, Inc. is located at 3150 N 12th St, Grand Junction, CO 81506. The listed phone number is (970) 256-5201.

What is Primary Care Partners, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Primary Care Partners, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2104958) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Care Partners, Inc. was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.