EDWARDS MEDICAL PROVIDER GROUP
NPI 1619573904
Clinic/Center - Multi-Specialty in Edwards, CO

Q: What is Edwards Medical Provider Group's NPI number?

The NPI number for Edwards Medical Provider Group is 1619573904. It was assigned to this organization in the NPPES registry on December 10, 2020.

Q: What is Edwards Medical Provider Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since December 10, 2020

2205 CORDILLERA WAY STE LL, EDWARDS, CO 81632(970) 693-0015 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Mar 23, 2021, Dec 15, 2020 and 1 more (4 updates tracked since 2020).

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About Edwards Medical Provider Group NPPES

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

EDWARDS MEDICAL PROVIDER GROUP (NPI 1619573904) is a healthcare organization registered as a multi-specialty in Edwards, Colorado and active in the NPI registry since December 2020. The organization lists Christopher Austin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619573904

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameEDWARDS MEDICAL PROVIDER GROUP

Location Address2205 CORDILLERA WAY STE LLEdwards, CO 81632-6290

Mailing Address2205 Cordillera Way Ste LlEdwards, CO 81632-6290 · (800) 829-4933

Phone(970) 693-0015

Organization SubpartNo

Authorized OfficialChristopher AustinCfo · (714) 926-5846

Enumeration DateDecember 10, 2020

Last NPPES UpdateFebruary 1, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2024

✔ NPI 1619573904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

2205 CORDILLERA WAY STE LL, Edwards, CO 81632

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Other Names 1

Former Legal Business NameEdwards Medical Provider Group

Other Providers at the Same Location NPPES

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

APN ACUTE CARE

Preventive Medicine (Undersea and Hyperbaric Medicine)

2205 CORDILLERA WAY STE LL
EDWARDS, CO 81632

Eagle County (737) 247-1223

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 Edwards Medical Provider Group's NPI number?

The NPI number for Edwards Medical Provider Group is 1619573904. It was assigned to this organization in the NPPES registry on December 10, 2020.

Where is Edwards Medical Provider Group located?

Edwards Medical Provider Group is located at 2205 Cordillera Way Ste Ll, Edwards, CO 81632. The listed phone number is (970) 693-0015.

What is Edwards Medical Provider Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Edwards Medical Provider Group was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.