Organization Active NPI

Cedar Point Health LLC

  • Internal Medicine Physician
  • Montrose, CO
National Provider Identifier
1902804032
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CEDAR POINT HEALTH LLC
Practice address
3330 S Rio Grande Ave Ste 300
Montrose, CO 81401-4839
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
Jul 12, 2005
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

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
Mr. Cory Phillips
Title
Practice Administrator
Phone
(970) 249-7751

Specialties & licenses 2

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

Addresses

Primary practice location

3330 S Rio Grande Ave Ste 300
Montrose, CO 81401-4839

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
04103040MedicaidCO

Other names 1

  • Internal Medicine Specialty Group LLP Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040312001011 CO Part B Supplier - Clinic/Group Practice 0143119586 Receives reassigned benefits from 68 practitioners
Practice locations: Ridgway, CO; Montrose, CO; Grand Junction, CO; Cedaredge, CO; Fruita, CO; Delta, CO
O20171227002120 CO DME Supplier - Physician - General Practice 0143119586 Practice locations: Montrose, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0927618Cedar Point Health, LLC3330 South Rio Grande Avenue, Montrose, CO 81401Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

255 S Grand Mesa Dr
Cedaredge, CO 81413
Phone (970) 856-4111

234 Cottonwood St
Delta, CO 81416

2454 Highway 6 and 50
Grand Junction, CO 81505

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

2455 Highway 6 and 50
Grand Junction, CO 81505

569 32 Rd
Grand Junction, CO 81504
Phone (970) 434-9651

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

2303 S Townsend Ave
Ste C
Montrose, CO 81401

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

3330 S Rio Grande Ave
Ste A
Montrose, CO 81401

836 S Townsend Ave
Ste B
Montrose, CO 81401

836 S Townsend Ave
Ste Ut
Montrose, CO 81401

Practitioners & affiliated clinicians

Practitioners 72

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 72

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1902804032",
    "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": "3330 S RIO GRANDE AVE STE 300",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014839",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "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": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-249-7751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04103040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Specialty Group LLP",
            "code": "4",
            "type": "Former Legal Business 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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.