NPIMap

Organization Active NPI

Compass Medical Center Clifton

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1467147249
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPASS MEDICAL CENTER CLIFTON
Practice address
2478 Patterson Rd Ste 17
Grand Junction, CO 81505-3606
Phone
(970) 985-4506
Fax
(970) 628-9965
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Justin J WoodsideNPI 1306005327
Title
Owner
Phone
(928) 536-5525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X

Addresses

Primary practice location

2478 Patterson Rd Ste 17
Grand Junction, CO 81505-3606

Mailing address

3229 I-70 Business Loop
Clifton, CO 81520-7682
Phone (970) 424-5223

Other practice location 1

3229 I-70 Business Loop
Clifton, CO 81520-7682
Phone (970) 424-5223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523000332 CO Part B Supplier - Clinic/Group Practice 9335505098 Receives reassigned benefits from 4 practitioners
Practice locations: Clifton, CO; Grand Junction, CO

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17855/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1467147249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 I-70 BUSINESS LOOP",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815207682",
            "telephone_number": "970-424-5223",
            "fax_number": "970-628-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD STE 17",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053606",
            "telephone_number": "970-985-4506",
            "fax_number": "970-628-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 I-70 Business Loop",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "CO",
            "postal_code": "815207682",
            "country_code": "US",
            "telephone_number": "970-424-5223",
            "fax_number": "970-628-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASS MEDICAL CENTER CLIFTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "WOODSIDE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-536-5525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.