Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Parent organization
COMMUNITY MEDICAL GROUP, LLC
Other names
Grand Valley Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL GROUP, LLC
Authorized official
CHRISTIAN THOMAS (CEO/PRESIDENT)
(970) 644-3011
Entity
Organization
Contact information
Practice address
605 28 1/4 RD UNIT A, GRAND JUNCTION, CO 81506-6020
(970) 242-9026
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2619
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
174400000X
Specialist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000177899
—
CO
Enumeration date
07/31/2019
Last updated
12/08/2022
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