Grand Junction Emergency Medical Group

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

Legal business name

GRAND JUNCTION EMERGENCY MEDICAL GROUP

Practice address

2021 N 12TH St
Grand Junction, CO 81501-2980

Phone

(970) 256-6395

Fax

(970) 253-6520

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kent Harris Black, M.D.

Title

Director

Phone

(970) 256-6395

Specialties & licenses 1

Addresses

Other names 1

• Community Hospital ER Physicians Other name

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952476392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012980",
            "telephone_number": "970-256-6395",
            "fax_number": "970-253-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012980",
            "telephone_number": "970-256-6395",
            "fax_number": "970-253-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION EMERGENCY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-256-6395",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospital ER Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Personal Emergency Response Attendant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Personal Emergency Response Attendant in Colorado

• 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.