NPIMap

Organization Active NPI

Colorado West Healthcare System

Doing business as Grand Valley Radiation Oncology

  • Specialist
  • Grand JCT, CO
National Provider Identifier
1467112219
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLORADO WEST HEALTHCARE SYSTEM
Doing business as
Grand Valley Radiation Oncology
Practice address
688 23 1/2 Road
Suite 101
Grand JCT, CO 81505-8904
Phone
(970) 254-3180
Fax
(970) 254-3198
NPI assigned
Dec 21, 2021
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Radiation Oncology Physician 2085R0001X NU

Addresses

Primary practice location

688 23 1/2 Road
Suite 101
Grand JCT, CO 81505-8904

Mailing address

PO Box 1687
Grand JCT, CO 81502-1687
Phone (970) 254-3180

Other practice location 1

2373 G Rd Ste 140
Grand Jct, CO 81505-1003
Phone (970) 254-3180

Other identifiers 1

IdentifierTypeStateIssuer
9000206548MedicaidCO

Other names 1

  • Grand Valley Radiation Oncology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado West Healthcaresystem Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

688 23 12 Rd
Ste 101
Grand JCT, CO 81505

2373 G Rd
Ste 140
Grand Junction, CO 81505
Phone (970) 644-4345

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1467112219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021687",
            "telephone_number": "970-254-3180",
            "fax_number": "970-254-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 23 1/2 ROAD",
            "address_2": "SUITE 101",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815058904",
            "telephone_number": "970-254-3180",
            "fax_number": "970-254-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 G Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815051003",
            "country_code": "US",
            "telephone_number": "970-254-3180",
            "fax_number": "970-254-3198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO WEST HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-644-3011"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000206548",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.