CONGRESS PARK CLINIC - PRIMARY CARE
NPI 1942972526
Family Medicine in Denver, CO

Q: What is Intermountain Medical Group Denver, LLC's specialty?

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

Active since October 01, 2021CLIA 06D2239636 · Waiver

1400 JACKSON ST STE 550, DENVER, CO 80206(303) 812-3800(303) 812-4172 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Oct 1, 2021 (2 updates tracked since 2021).

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About Congress Park Clinic - Primary Care NPPES

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

CONGRESS PARK CLINIC - PRIMARY CARE (NPI 1942972526) is a healthcare organization registered as a family medicine in Denver, Colorado and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Jon Mcdaniel, Vp Fiance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1942972526

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Location Address1400 JACKSON ST STE 550Denver, CO 80206-2761

Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566 · Fax (303) 272-0390

Phone(303) 812-3800

Fax(303) 812-4172

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Fiance Medical Group · (303) 272-0231

Enumeration DateOctober 1, 2021

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1942972526 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.

1400 JACKSON ST STE 550, Denver, CO 80206

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Other Names 1

Doing Business AsCongress Park Clinic - Primary Care

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 of Waiver 06D2239636

Congress Park Clinic - Primary Care · Denver, CO

Active · expires Oct 12, 2027

CLIA Number06D2239636

Laboratory TypePhysician Office

Certificate Effective DateOctober 13, 2025

Certificate Expiration DateOctober 12, 2027

Laboratory DirectorJay J. Shi

Laboratory Phone(303) 812-3800

Laboratory LocationCongress Park Clinic - Primary Care1400 Jackson St Building T Ste 550, Denver, CO 80206

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only 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.

DR. JUSTYNE HAMMOND MURPHY DO

Family Medicine

1400 JACKSON ST STE 550
DENVER, CO 80206

Denver County (303) 318-3800

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 Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1942972526. It was assigned to this organization in the NPPES registry on October 1, 2021. The provider is doing business as Congress Park Clinic - Primary Care.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 1400 Jackson St Ste 550, Denver, CO 80206. The listed phone number is (303) 812-3800.

What is Intermountain Medical Group Denver, LLC's specialty?

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

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2239636) is associated with this NPI, valid through October 12, 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 Intermountain Medical Group Denver, LLC was last updated on June 28, 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.