NPIMap

Organization Active NPI

Cedar Point Health LLC

  • Primary Care Clinic/Center
  • Ridgway, CO
National Provider Identifier
1689404568
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CEDAR POINT HEALTH LLC
Practice address
295 Sherman St
Ridgway, CO 81432-8706
Phone
(970) 626-5123
Fax
(970) 249-5029
NPI assigned
Aug 5, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDAR POINT HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Cory Phillips
Title
Ceo
Phone
(970) 249-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

295 Sherman St
Ridgway, CO 81432-8706

Mailing address

2303 S Townsend Ave Ste a
Montrose, CO 81401-5452
Phone (970) 249-7751

Other names 1

  • Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Int Med Associates15 organizations share this tax ID, including this one
Part of
Int Med Associates

Other organizations with this tax ID 14

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

View all 14

Locations

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

295 Sherman St
Ridgway, CO 81432
Phone (970) 626-5123

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1689404568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SHERMAN ST",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814328706",
            "telephone_number": "970-626-5123",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINT HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR POINT HEALTH LLC",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-249-7751"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgway, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.