RED CANYON FAMILY MEDICINE
NPI 1972932622
Family Medicine in Fruita, CO

NPI Status: Active since November 04, 2013

Contact Information

455 KOKOPELLI BLVD STE C
FRUITA, CO
ZIP 81521
Phone: (970) 256-5285
Fax: (970) 256-5290

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  • Organization
  • Family Medicine
  • CLIA Number: 06D2073692
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-23-2026

About RED CANYON FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Red Canyon Family Medicine, a primary care provider established in Fruita, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1972932622 assigned on November 2013. 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 Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Red Canyon Family Medicine. The authorized official of this NPI record is Beverly J Clark (Credentialing Coordinator)

NPI
1972932622
Provider Legal Name
PRIMARY CARE PARTNERS, INC.
Other Organization Name
RED CANYON FAMILY MEDICINE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
455 KOKOPELLI BLVD STE C FRUITA, CO 81521
Location Phone
(970) 256-5285
Location Fax
(970) 256-5290
Mailing Address
PO BOX 10700 GRAND JUNCTION, CO 81502
Mailing Phone
(970) 254-2642
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-04-2013
Last Update Date
01-04-2022
Code Navigator

A primary care provider (PCP) like Red Canyon Family Medicine 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BEVERLY J CLARK

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(970) 254-2642

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
06D2073692
Facility Type
Physician Office
Certificate Effective Date
February 24, 2024
Certificate Expiration Date
February 23, 2026
Laboratory Director
AMY O. BRATTELI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Red Canyon Family Medicine 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972932622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 8 + 3 + 4 + 6 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1972932622.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
455 KOKOPELLI BLVD STE C
FRUITA, CO 81521
Family Medicine
455 KOKOPELLI BLVD STE C
FRUITA, CO 81521
Nurse Practitioner (Family)
455 KOKOPELLI BLVD STE C
FRUITA, CO 81521
Nurse Practitioner (Family)
455 KOKOPELLI BLVD STE C
FRUITA, CO 81521
Nurse Practitioner
455 KOKOPELLI BLVD STE C
FRUITA, CO 81521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972932622, enumerated as an "organization" on November 04, 2013.

The provider is located at 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 and the phone number is (970) 256-5285.

Family Medicine with taxonomy code 207Q00000X.