MEDICARE: CEDAR POINT HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649908534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR POINT HEALTH LLC

Provider Business Mailing Address
First Line	:	300 S NEVADA AVE
Second Line	:
City	:	MONTROSE
State	:	CO
Zip	:	81401-4273
Country	:	US
Telephone Number	:	970-249-7751
Fax Number	:	970-541-9806

Provider Business Practice Location Address
First Line	:	2454 HIGHWAY 6&50
Second Line	:	#104
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1117
Country	:	US
Telephone Number	:	970-644-9900
Fax Number	:	970-541-9806

Authorized Official
Title or Position	:	CEO
Name	:	CORY PHILLIPS
Credential	:
Telephone Number	:	970-249-7751

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	08/13/2024

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Directions to “CEDAR POINT HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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