GRAND VALLEY PRIMARY CARE FRUITA
NPI 1487291225
Family Medicine in Fruita, CO
NPI Status: Active since November 27, 2019
Contact Information
101 JURASSIC AVE UNIT B
FRUITA, CO
ZIP 81521
Phone: (970) 858-6677
Fax: (970) 858-6679
- Organization
- Family Medicine
- CLIA Number: 06D1056575
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-18-2026
About GRAND VALLEY PRIMARY CARE FRUITA
This page provides the complete NPI Profile along with additional information for Grand Valley Primary Care Fruita, a primary care provider established in Fruita, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1487291225 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 4 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 Fruita. The authorized official of this NPI record is Christian Thomas (President/ceo)
- NPI
- 1487291225
- Provider Legal Name
- COMMUNITY MEDICAL GROUP, LLC
- Other Organization Name
- GRAND VALLEY PRIMARY CARE FRUITA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 101 JURASSIC AVE UNIT B FRUITA, CO 81521
- Location Phone
- (970) 858-6677
- Location Fax
- (970) 858-6679
- Mailing Address
- PO BOX 1727 GRAND JUNCTION, CO 81502
- Mailing Phone
- (970) 263-2619
- Mailing Fax
- (970) 858-6679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2019
- Last Update Date
- 09-13-2021
- Code Navigator
A primary care provider (PCP) like Grand Valley Primary Care Fruita 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 .
Location Map
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.
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.
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
- 06D1056575
- Facility Type
- Physician Office
- Certificate Effective Date
- July 19, 2024
- Certificate Expiration Date
- July 18, 2026
- Laboratory Director
- DR. REBECCA FULMER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Grand Valley Primary Care Fruita 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.
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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. | |||||||||
| 1 | 4 | 8 | 7 | 2 | 9 | 1 | 2 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 4 | 9 | 2 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 4 + 9 + 2 + 2 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1487291225 is valid because the calculated check digit 5 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.
JOHN NOZYKOWSKI MD
Family Medicine
101 JURASSIC AVE UNIT B
FRUITA, CO
ZIP 81521
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487291225, enumerated as an "organization" on November 27, 2019.
The provider is located at 101 JURASSIC AVE UNIT B FRUITA, CO 81521 and the phone number is (970) 858-6677.
Family Medicine with taxonomy code 207Q00000X.
