NPIMap

Community Medical Group, LLC

Organization Active NPI Specialist · Fruita, CO

NPI 1346956273 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1346956273
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
COMMUNITY MEDICAL GROUP, LLC
Practice address
401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308
Phone
(970) 243-9340
Fax
(970) 241-6894
NPI assigned
Jan 24, 2023
Organization subpart
No

Authorized official

Name
Christian Thomas
Title
Cfo/Ceo
Phone
(970) 644-3011

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

National Provider Directory

Tax ID family
Community Medical Group LLC (28 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X Yes
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X

Addresses

Primary practice location

401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 243-9340

Other names

  • Surgical Associates of the Grand Valley Fruita Doing business as

Other providers in Fruita, CO

All providers in Fruita, CO · Specialist in Colorado

Sources for this page

Verify at the official NPI Registry.