PAVILION FAMILY MEDICINE
NPI 1790925501
Family Medicine in Montrose, CO

Q: What is Ouray Family Medicine LLC's NPI number?

The NPI number for Ouray Family Medicine LLC is 1790925501. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as Pavilion Family Medicine.

Q: What is Ouray Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 06, 2009CLIA 06D0996201 · Waiver

1804 E PAVILION PL, MONTROSE, CO 81401(970) 249-6670(970) 252-1372 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pavilion Family Medicine NPPES

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

PAVILION FAMILY MEDICINE (NPI 1790925501) is a healthcare organization registered as a family medicine in Montrose, Colorado and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists David P Olson, Owner, as its authorized official.

NPPES Registry Identity

NPI1790925501

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameOURAY FAMILY MEDICINE LLC

Location Address1804 E PAVILION PLMontrose, CO 81401-5795

Mailing Address1804 E Pavilion PlMontrose, CO 81401-5795 · (970) 249-6670 · Fax (970) 252-1372

Phone(970) 249-6670

Fax(970) 252-1372

Organization SubpartNo

Authorized OfficialDavid P OlsonOwner · (970) 249-6670

Enumeration DateMarch 6, 2009

Last NPPES UpdateDecember 28, 2016

✔ NPI 1790925501 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.

1804 E PAVILION PL, Montrose, CO 81401

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Other Names 1

Doing Business AsPavilion Family Medicine

Other Identifiers 3

Medicare PINCOB4667CO

OtherDS4766Railroad Workers Medicare

Medicaid89081251CO

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 of Waiver 06D0996201

Pavilion Family Medicine · Montrose, CO

Active · expires Aug 20, 2027

CLIA Number06D0996201

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorDr. John C. Ribadeneyra

Laboratory Phone(970) 249-6670

Laboratory LocationPavilion Family Medicine1804 East Pavilion Pl Suite A, Montrose, CO 81401

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KATE WOGAN NP

Nurse Practitioner (Family)