MARILLAC CLINIC, INC


Address: 510 29 1/2 Rd, Grand Junction, CO 81504
Phone: 9702981782

MARILLAC CLINIC, INC (NPI# 1104275882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104275882
Entity Type Organization
Organization Name MARILLAC CLINIC, INC
Practice Address 510 29 1/2 Rd
Grand Junction
CO 81504
Mailing Address 2333 N 6th St
Grand Junction
CO 81501-2001
Practice Telephone 9702981782
Practice Fax Number 9702981711
Mailing Telephone 9702981782
Mailing Fax Number 9702981711
Enumeration Date 2016-06-03
Last Update Date 2020-09-21
Authorized Official Name LATA RAMACHANDRAN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9702982235
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
18U295 CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 15522865 05
CO 38402068 05
CO 90252365 05
CO 27421767 05
CO 72071362 05

Office Location

Street Address 510 29 1/2 RD
City GRAND JUNCTION
State CO
Zip Code 81504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831201359 Anita I Sheetz Midwife 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2006-08-31
1689286239 Amanda Jensen Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2020-08-17
1902380975 Holly Nisley Social Worker 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2018-09-17
1932695715 Danielle Garcia Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2018-07-05
1215423074 Keli Campbell Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2018-07-05
1265921571 Danyelle Larson Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2018-05-02
1437648748 Rebecca Ferguson Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2018-05-02
1285169334 Melanie A Duyvejonck Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2017-04-26
1598128605 Erin Andrews Registered Nurse 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2016-04-05
1750752390 Mesa County Dept of Human Services Contractor 510 29 1/2 Rd, Grand Junction, CO 81504-5383 2015-10-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699226936 Ariel Kristine Rendt Padron Counselor 639 Long Peak Ct, Grand Junction, CO 81504 2016-10-21
1902197460 Bereket Yebiyo Pharmacist 2992 F Rd., Grand Junction, CO 81504 2011-05-02
1467636787 Renae Tabin Physician Assistant 569 32 Rd Ste 12, Grand Junction, CO 81504 2007-12-21
1689892069 Mark Newhouse Physical Therapist 2777 Crossroads Blvd, Grand Junction, CO 81504 2007-04-23
1841414570 Deborah Ann Didonato Registered Nurse 510 29 .5 Rd, Grand Junction, CO 81504 2007-04-12
1073634952 Darilynn Sue Maddux Technician 510 29.5, Grand Junction, CO 81504 2007-04-02
1538289749 Shirley Callaway Registered Nurse 510 29. 5 Road, Grand Junction, CO 81504 2007-03-30
1407891328 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 569 32 Rd, Grand Junction, CO 81504 2006-06-17
1275536146 Mesa County Health Department Registered Nurse 510 29 1/2 Road, Grand Junction, CO 81504 2005-05-24
1255722054 Margaret Lorraine Lehr Nurse Practitioner 3096 I-70 Business Loop, Suite D, Grand Junction, CO 81504 2015-02-16
Find all providers in zip 81504

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093345886 Marillac Clinic, Inc. Clinic/Center 550 Warrior Way, Grand Junction, CO 81504-6401 2020-01-21
1497103212 Marillac Clinic, Inc. Clinic/Center 2853 North Ave, Grand Junction, CO 81501 2016-06-02
1063861748 Marillac Clinic, Inc. Clinic/Center 3150 N 12th St, Grand Junction, CO 81506 2016-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972118073 Sunrise Community Health Clinic/Center 2880 Monroe Ave, Loveland, CO 80538-3274 2020-09-15
1538772892 Valley-wide Health Systems, Inc. Clinic/Center 204 Carson Ave, Alamosa, CO 81101-2342 2020-08-26
1225640931 Valley-wide Health Systems, Inc. Clinic/Center 1215 Main St Ste B, Canon City, CO 81212-3505 2020-08-24
1568073229 Mountain Family Health Centers Clinic/Center 2270 Highway 133, Carbondale, CO 81623-9271 2020-08-14
1912515735 Peak Vista Community Health Centers Clinic/Center 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 2020-07-17
1861014805 Metro Community Provider Network, Inc. Clinic/Center 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 2020-05-13
1548897648 Plan De Salud Del Valle, Inc Clinic/Center 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 2020-03-26
1134766553 Plan De Salud Del Valle, Inc Clinic/Center 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 2019-12-04
1033755392 Metro Community Provider Network, Inc. Clinic/Center 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 2019-11-21
1639714041 Peak Vista Community Health Centers Clinic/Center 4041 E San Miguel St, Colorado Springs, CO 80909 2019-11-08
Find all providers with the same taxonomy

Competitor

Search similar providers

City GRAND JUNCTION
Zip Code 81504

Improve Information

Please comment or provide details below to improve the information on MARILLAC CLINIC, INC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches