Healthcare Provider Details

I. General information

NPI: 1467147249
Provider Name (Legal Business Name): COMPASS MEDICAL CENTER CLIFTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2478 PATTERSON RD STE 17
GRAND JUNCTION CO
81505-3606
US

IV. Provider business mailing address

3229 I-70 BUSINESS LOOP
CLIFTON CO
81520-7682
US

V. Phone/Fax

Practice location:
  • Phone: 970-985-4506
  • Fax: 970-628-9965
Mailing address:
  • Phone: 970-424-5223
  • Fax: 970-628-9965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN J WOODSIDE
Title or Position: OWNER
Credential:
Phone: 928-536-5525