Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Parent organization
COMMUNITY MEDICAL GROUP
Other names
ADVANCE PULMONARY AND CRITICAL CARE OF THE GRAND VALLEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL GROUP
Authorized official
CHRISTIAN THOMAS (PRESIDENT AND CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
688 23 1/2 ROAD, SUITE 303, GRAND JUNCTION, CO 81505-8904
(970) 263-2680
(970) 263-2684
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000152017
—
CO
Enumeration date
08/04/2014
Last updated
01/31/2024
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