1. Home
  2. Directory
  3. Colorado
  4. Aurora
  5. Family Medicine
  6. NPI Profile

EAST CROSSROADS CLINIC - PRIMARY CARE
NPI 1962270371
Family Medicine in Aurora, CO

Active since December 14, 2023CLIA 06D2306709 · Waiver
23750 E 14TH AVE, SUITE 250, AURORA, CO 80018(303) 812-5200(303) 272-0262 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Jun 6, 2024, Dec 14, 2023 (3 updates tracked since 2023).

About East Crossroads Clinic - Primary Care NPPES

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

EAST CROSSROADS CLINIC - PRIMARY CARE (NPI 1962270371) is a healthcare organization registered as a family medicine in Aurora, Colorado and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1962270371
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address23750 E 14TH AVE, SUITE 250Aurora, CO 80018-1973
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390
Phone(303) 812-5200
Fax(303) 272-0262
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateDecember 14, 2023
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1962270371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
23750 E 14TH AVE, Aurora, CO 80018
Open in Google Maps ↗

Other Names 1

Doing Business AsEast Crossroads 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 06D2306709

East Crossroads Clinic - Primary Care · Aurora, CO
Active · expires Jun 23, 2028
CLIA Number06D2306709
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorRachel Decosta
Laboratory Phone(303) 812-5200
Laboratory LocationEast Crossroads Clinic - Primary Care23750 E 14th Ave, Suite 250, Aurora, CO 80018
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 8

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

ACTION BEHAVIOR CENTERS THERAPY LLC
Behavior Analyst
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Internal Medicine (Cardiovascular Disease)
23750 E 14TH AVE, SUITE 330
AURORA, CO 80018
Arapahoe County (303) 812-5250
ACTION BEHAVIOR CENTERS THERAPY LLC
Psychologist
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
ACTION BEHAVIOR CENTERS, LLC
Psychologist
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
ACTION BEHAVIOR CENTERS, LLC
Behavior Analyst
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Podiatrist (Primary Podiatric Medicine)
23750 E 14TH AVE, SUITE 220
AURORA, CO 80018
Arapahoe County (303) 812-5230
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Surgery
23750 E 14TH AVE, SUITE 240
AURORA, CO 80018
Arapahoe County (303) 812-5220
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Orthopaedic Surgery
23750 E 14TH AVE, SUITE 230
AURORA, CO 80018
Arapahoe County (303) 812-5240

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 1962270371. It was assigned to this organization in the NPPES registry on December 14, 2023. The provider is doing business as East Crossroads Clinic - Primary Care.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 23750 E 14th Ave Suite 250, Aurora, CO 80018. The listed phone number is (303) 812-5200.

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 06D2306709) is associated with this NPI, valid through June 23, 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 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.