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

Active since November 04, 2013CLIA 06D2073692 · Microscopy
455 KOKOPELLI BLVD STE C, FRUITA, CO 81521(970) 256-5285(970) 256-5290 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Nov 1, 2021, Dec 20, 2019 and 2 more (5 updates tracked since 2015).

About Red Canyon Family Medicine NPPES

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

RED CANYON FAMILY MEDICINE (NPI 1972932622) is a healthcare organization registered as a family medicine in Fruita, Colorado and active in the NPI registry since November 2013. The organization holds a CLIA Microscopy certificate valid through February 23, 2028 and lists Beverly J Clark, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1972932622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE PARTNERS, INC.
Location Address455 KOKOPELLI BLVD STE CFruita, CO 81521-8710
Mailing AddressPo Box 10700Grand Junction, CO 81502-5517 · (970) 254-2642
Fax(970) 256-5290
Organization SubpartYes
Authorized OfficialBeverly J ClarkCredentialing Coordinator · (970) 254-2642
Enumeration DateNovember 4, 2013
Last NPPES UpdateJanuary 4, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1972932622 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.
455 KOKOPELLI BLVD STE C, Fruita, CO 81521

Other Names 1

Other NameRed Canyon Family Medicine

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 for Provider-Performed Microscopy Procedures (PPMP) 06D2073692

Red Canyon Family Medicine · Fruita, CO
Active · expires Feb 23, 2028
CLIA Number06D2073692
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorChristine C. Tardif
Laboratory Phone(970) 256-5285
Laboratory LocationRed Canyon Family Medicine455 Kokopelli Blvd Unit C, Fruita, CO 81521
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

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

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 Primary Care Partners, Inc.'s NPI number?

The NPI number for Primary Care Partners, Inc. is 1972932622. It was assigned to this organization in the NPPES registry on November 4, 2013. The provider is also known as Red Canyon Family Medicine.

Where is Primary Care Partners, Inc. located?

Primary Care Partners, Inc. is located at 455 Kokopelli Blvd Ste C, Fruita, CO 81521. The listed phone number is (970) 256-5285.

What is Primary Care Partners, Inc.'s specialty?

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

Does Primary Care Partners, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2073692) is associated with this NPI, valid through February 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 Primary Care Partners, Inc. was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.