Grand Valley Cardiology

LBN: Community Medical Group, Llc
Grand Valley Cardiology is an health care organization with primary practice located at 688 23 1/2 Road Suite 301, Grand Jct CO 81505-8904. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Other Service Providers / Specialist is the primary health care specialty. Community Medical Group, Llc can be contacted via phone (970) 644-4030, or through Thomas, Christian via phone (970) 644-3011.

Contact Information

Primary practice address
688 23 1/2 Road Suite 301 Grand Jct CO 81505-8904
Phone: (970) 644-4030
Fax: (970) 644-3914
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Christian
Phone: (970) 644-3011

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1265079545
LBN Legal business name Community Medical Group, Llc
DBA Doing business as Grand Valley Cardiology
Authorized official Thomas, Christian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2019
Last updated Jan 31st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265079545 NPPES
Colorado MEDICAID 9000190007

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