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GRAND VALLEY PRIMARY CARE FRUITA
NPI 1487291225
Family Medicine in Fruita, CO

Active since November 27, 2019CLIA 06D1056575 · Microscopy
101 JURASSIC AVE UNIT B, FRUITA, CO 81521(970) 858-6677(970) 858-6679 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2021, Apr 24, 2020, Jan 24, 2020 and 1 more (4 updates tracked since 2019).

About Grand Valley Primary Care Fruita NPPES

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

GRAND VALLEY PRIMARY CARE FRUITA (NPI 1487291225) is a healthcare organization registered as a family medicine in Fruita, Colorado and active in the NPI registry since November 2019. The organization holds a CLIA Microscopy certificate valid through July 18, 2028 and lists Christian Thomas, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1487291225
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY MEDICAL GROUP, LLC
Location Address101 JURASSIC AVE UNIT BFruita, CO 81521-7713
Mailing AddressPo Box 1727Grand Junction, CO 81502-1727 · (970) 263-2619 · Fax (970) 263-2691
Phone(970) 858-6677
Fax(970) 858-6679
Organization SubpartNo
Authorized OfficialChristian ThomasPresident/ceo · (970) 644-3011
Enumeration DateNovember 27, 2019
Last NPPES UpdateSeptember 13, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1487291225 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.
101 JURASSIC AVE UNIT B, Fruita, CO 81521
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Other Names 2

Doing Business AsGrand Valley Primary Care Fruita
Doing Business AsGrand Junction Primary Care Iv

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) 06D1056575

Grand Valley Primary Care Fruita · Fruita, CO
Active · expires Jul 18, 2028
CLIA Number06D1056575
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorDr. Rebecca Fulmer
Laboratory Phone(970) 644-3830
Laboratory LocationGrand Valley Primary Care Fruita101 Jurassic Ave, Suite C, Fruita, CO 81521
CLIA data matches this NPI record on: Name
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

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

JOHN NOZYKOWSKI MD
Family Medicine
101 JURASSIC AVE UNIT B
FRUITA, CO 81521
Mesa County (970) 858-6677

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 1487291225. It was assigned to this organization in the NPPES registry on November 27, 2019. The provider is doing business as Grand Valley Primary Care Fruita and Grand Junction Primary Care IV.

Where is Community Medical Group, LLC located?

Community Medical Group, LLC is located at 101 Jurassic Ave Unit B, Fruita, CO 81521. The listed phone number is (970) 858-6677.

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 06D1056575) is associated with this NPI, valid through July 18, 2028. 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 September 13, 2021. 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.