NPIMap

Organization Active NPI

Community Medical Group

Doing business as Canyon View Women's Health

  • Specialist
  • Grand Junction, CO
National Provider Identifier
1689098295
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMMUNITY MEDICAL GROUP
Doing business as
Canyon View Women's Health
Colorado West WomanCare of the Grand Valley
Practice address
2373 G Rd Ste 240
Grand Junction, CO 81505-1006
Phone
(970) 243-7908
Fax
(970) 245-0656
NPI assigned
Feb 18, 2014
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MEDICAL GROUPAs reported in NPPES

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
President/Ceo
Phone
(970) 644-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2373 G Rd Ste 240
Grand Junction, CO 81505-1006

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 243-7908

Other practice location 1

688 23 1/2 Road
Suite 304
Grand Junction, CO 81505-8904
Phone (970) 243-7908

Other identifiers 1

IdentifierTypeStateIssuer
9000151935MedicaidCO

Other names 2

  • Canyon View Women's Health Doing business as
  • Colorado West WomanCare of the Grand Valley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000712 CO Part B Supplier - Clinic/Group Practice 3971491887 Receives reassigned benefits from 103 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grand Junction, CO
O20151222000695 CO Part B Supplier - Clinic/Group Practice 1052612785 Receives reassigned benefits from 123 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grand Junction, CO; Meeker, CO; Palisade, CO; Rangely, CO; Grand JCT, CO; Fruita, CO; Delta, CO; Clifton, CO

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Group LLC28 organizations share this tax ID, including this one
Part of
Community Medical Group LLC

Other organizations with this tax ID 27

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

View all 27

Locations

688 23 12 Rd Ste 304
Ste 304
Grand Junction, CO 81505

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1689098295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-243-7908",
            "fax_number": "970-245-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 240",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-243-7908",
            "fax_number": "970-245-0656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 23 1/2 Road",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815058904",
            "country_code": "US",
            "telephone_number": "970-243-7908",
            "fax_number": "970-245-0656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEDICAL GROUP",
        "enumeration_date": "2014-02-18",
        "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": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "970-644-3011"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000151935",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon View Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado West WomanCare of the Grand Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado West WomanCare of the Grand Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 2024; 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.