Organization Active NPI

Grand Valley Internal Medicine, Associates

  • Legal Medicine
  • Grand Junction, CO
National Provider Identifier
1578583316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
GRAND VALLEY INTERNAL MEDICINE, ASSOCIATES
Practice address
425 Patterson Rd
Suite 403
Grand Junction, CO 81506-1953
Phone
(970) 244-7460
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debbie Olson
Title
Practice Manager
Phone
(970) 244-7460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

425 Patterson Rd
Suite 403
Grand Junction, CO 81506-1953

Mailing address

425 Patterson Rd
Suite 403
Grand Junction, CO 81506-1953
Phone (970) 244-7460

National Provider Directory

National Provider Directory

Locations

425 Patterson Rd
#403
Grand Junction, CO 81506
Phone (970) 244-7460

425 Patterson Rd
Ste 403
Grand Junction, CO 81506
Phone (970) 244-7460

Practitioners & affiliated clinicians

Practitioners 1

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578583316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PATTERSON RD",
            "address_2": "SUITE 403",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061953",
            "telephone_number": "970-244-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PATTERSON RD",
            "address_2": "SUITE 403",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061953",
            "telephone_number": "970-244-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY INTERNAL MEDICINE, ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "970-244-7460"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.