Primary Care Partners, INC.
Family Medicine, Sports Medicine in Grand Junction, CO. Organization (NPI-2).
NPI number1417455403
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1417455403
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Partners, INC.
- Organization subpart
- Yes
- Enumeration date
- Jan 25, 2018
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | – | – | Yes |
Other names
- Tabeguache Family & Sports Medicine (Other Name)
Practice location
3150 N 12th StGrand Junction, CO 81506-2863
Phone 970-256-5201 · Fax 970-256-5202
Mailing address
Po Box 10700Grand Junction, CO 81502-5517
Phone 970-254-2642
Authorized official
Beverly J Clark
Credentialing Coordinator
9702542642
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All 8 Sports Medicine (Family Medicine) Physician providers in Grand Junction · All 4,673 providers in Grand Junction
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