RED CANYON FAMILY MEDICINE
NPI 1972932622
Family Medicine in Fruita, CO
NPI Status: Active since November 04, 2013
Contact Information
455 KOKOPELLI BLVD STE C
FRUITA, CO
ZIP 81521
Phone: (970) 256-5285
Fax: (970) 256-5290
- Organization
- Family Medicine
- CLIA Number: 06D2073692
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-23-2026
About RED CANYON FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Red Canyon Family Medicine, a primary care provider established in Fruita, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1972932622 assigned on November 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Red Canyon Family Medicine. The authorized official of this NPI record is Beverly J Clark (Credentialing Coordinator)
- NPI
- 1972932622
- Provider Legal Name
- PRIMARY CARE PARTNERS, INC.
- Other Organization Name
- RED CANYON FAMILY MEDICINE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 455 KOKOPELLI BLVD STE C FRUITA, CO 81521
- Location Phone
- (970) 256-5285
- Location Fax
- (970) 256-5290
- Mailing Address
- PO BOX 10700 GRAND JUNCTION, CO 81502
- Mailing Phone
- (970) 254-2642
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-04-2013
- Last Update Date
- 01-04-2022
- Code Navigator
A primary care provider (PCP) like Red Canyon Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2073692
- Facility Type
- Physician Office
- Certificate Effective Date
- February 24, 2024
- Certificate Expiration Date
- February 23, 2026
- Laboratory Director
- AMY O. BRATTELI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Red Canyon Family Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 9 | 3 | 2 | 6 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 18 | 3 | 4 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 8 + 3 + 4 + 6 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1972932622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467891309 | DR. STEPHANIE DANIEL M.D. Individual | Family Medicine | 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 (970) 256-5285 |
| 1336122019 | AMY O. BRATTELI MD Individual | Family Medicine | 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 (970) 256-5285 |
| 1427301555 | NICOLE JEANETTE WILKE ANP Individual | Nurse Practitioner (Family) | 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 (970) 256-5285 |
| 1437642683 | JESSICA SAUDRAY HARRINGTON NP Individual | Nurse Practitioner (Family) | 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 (970) 256-5285 |
| 1437133428 | DR. CHRISTINE C TARDIF MD Individual | Family Medicine | 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 (970) 256-5285 |
| 1952609810 | BRITT JENS NP Individual | Nurse Practitioner | 455 KOKOPELLI BLVD STE C FRUITA, CO 81521 (970) 256-5285 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972932622, enumerated in the NPI registry as an "organization" on November 04, 2013
The provider is located at 455 Kokopelli Blvd Ste C Fruita, Co 81521 and the phone number is (970) 256-5285
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 06D2073692 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on November 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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