Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Primary Care Partners, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1417455403

Primary Care Partners, Inc provides Sports Medicine (Family Medicine) Physician services in Grand Junction, Colorado. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3150 N 12th St
Grand Junction, CO 81506-2863
Phone: (970) 256-5201
Fax: (970) 256-5202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1417455403
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrimary Care Partners, Inc
Authorized official Beverly Clark — Credentialing Coordinator · (970) 254-2642
Other names Tabeguache Family & Sports Medicine
NPI enumeratedJanuary 25, 2018
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing addressPo Box 10700, Grand Junction, CO 81502-5517

Other providers in Grand Junction