NPIMap

Organization Active NPI

Cedar Point Health LLC

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1841884855
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CEDAR POINT HEALTH LLC
Practice address
816 S 5TH St Ste B
Montrose, CO 81401-5765
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
Feb 22, 2021
Last updated
Aug 5, 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 5, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

816 S 5TH St Ste B
Montrose, CO 81401-5765

Mailing address

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

Other practice location 1

836 S Townsend Ave Ste A
Montrose, CO 81401-4360
Phone (970) 615-9120

Other practice location 2

836 S Townsend Ave Ste C
Montrose, CO 81401-4360
Phone (970) 249-2118

Other practice location 3

569 32 Rd Ste 12
Grand Junction, CO 81504-6095
Phone (970) 523-3544

Other practice location 4

2454 Hwy 6 and 50 Ste 104
Grand Junction, CO 81505-1117
Phone (970) 644-9900

Other practice location 5

2303 S Townsend Ave
Montrose, CO 81401-5452
Phone (970) 787-2500

Other practice location 6

300 S Nevada Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

Other identifiers 1

IdentifierTypeStateIssuer
04103040MedicaidCO

Other names 1

  • Cedar Point Health, LLC 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

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1841884855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE",
            "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": "816 S 5TH ST STE B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015765",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 S Townsend Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014360",
            "country_code": "US",
            "telephone_number": "970-615-9120",
            "fax_number": "970-240-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 S Townsend Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014360",
            "country_code": "US",
            "telephone_number": "970-249-2118",
            "fax_number": "970-249-2187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "569 32 Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815046095",
            "country_code": "US",
            "telephone_number": "970-523-3544",
            "fax_number": "970-434-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2454 Hwy 6 and 50 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051117",
            "country_code": "US",
            "telephone_number": "970-644-9900",
            "fax_number": "970-773-5937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2303 S Townsend Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814015452",
            "country_code": "US",
            "telephone_number": "970-787-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Nevada Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014273",
            "country_code": "US",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR POINT HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR POINT HEALTH LLC",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-08-05",
        "certification_date": "2023-12-08",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04103040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Point Health, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cedar Point Health, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.