Organization · Type 2 NPI

Community Specialty Group LLC

Specialist · Grand Jct, CO

NPI number 1356066765 Active

Practice location

2373 G Rd Ste 160
Grand Jct, CO 81505-1003

Call (970) 242-7292 Map

Fax (970) 644-3915

Mailing address

PO Box 1727
Grand Jct, CO 81502-1727

Other practice locations

2373 G Rd Ste 160, Grand Jct, CO 81505-1003 · (970) 644-3250

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed
Interventional Pain Medicine Physician	208VP0014X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10 other providers at this address

Other specialist providers in Grand Jct

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NPI record

NPI: 1356066765
Entity type: Organization (Type 2)
Issued: Oct 7, 2022
Last updated: Nov 29, 2022
Status: Active

Other names

<unavail>
Grand Valley Interventional Pain Management Clinic · doing business as
Grand Valley Specialty Care · doing business as
Grand Valley Thoracic/vascular · doing business as
Grand Valley Thoracic/vascular · doing business as

Authorized official

Christian Thomas
President/ceo
(970) 644-3011

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356066765

Community Specialty Group LLC's National Provider Identifier is 1356066765, issued on Oct 7, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Jct, CO. The record was last updated on Nov 29, 2022.