SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC (NPI# 1255944534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255944534 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC |
| Practice Address |
2643 Patterson Rd Ste 403 Grand Junction CO 81506-1937 |
| Practice Telephone | 9702987675 |
| Practice Fax Number | 9702982984 |
| Mailing Telephone | 9702987675 |
| Mailing Fax Number | 9702982984 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JON MCDANIEL (VP FINANCE MEDICAL GROUP) |
| Authorized Official Telephone | 3032720231 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCL HEALTH FRONT RANGE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SCL Health Medical Group - Heart & Vascular Institute - Thoracic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1497368674 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2643 Patterson Rd Ste 406, Grand Junction, CO 81506-1937 | 2020-08-26 |
| 1548873722 | Scl Health Medical Group - Grand Junction, LLC | Physical Medicine & Rehabilitation | 2686 Patterson Rd Unit 41, Grand Junction, CO 81506-8817 | 2020-08-26 |
| 1821695370 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 296 Stafford Ln, Delta, CO 81416-2243 | 2020-10-07 |
| 1174120125 | Scl Health Medical Group - Grand Junction, LLC | Family Medicine | 2503 Foresight Cir, Grand Junction, CO 81505-1139 | 2020-10-02 |
| 1730786971 | Scl Health Medical Group - Grand Junction, LLC | Surgery | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-10-01 |
| 1043825516 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 401 Castle Creek Rd, Aspen, CO 81611-1159 | 2020-09-11 |
| 1437764222 | Scl Health Medical Group - Grand Junction, LLC | Pediatrics | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-09-09 |
| 1417562216 | Scl Health Medical Group - Grand Junction, LLC | Surgery | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SCL Health Medical Group - Grand Junction, LLC | 500 Eldorado Blvd Ste 4300, Attn Legal Services, Broomfield, CO 80021 |
| Street Address |
2643 PATTERSON RD STE 403 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894229 | Scl Health Medical Group - Grand Junction, LLC | Clinic/Center | 2686 Patterson Rd, Entrance 41, Grand Junction, CO 81506-1937 | 2020-09-02 |
| 1295349785 | Scl Health Medical Group - Grand Junction, LLC | Clinic/Center | 2643 Patterson Rd Ste 401, Grand Junction, CO 81506-1937 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977058 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 191, Steamboat Springs, CO 80487-8853 | 2020-09-20 |
| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC.
| 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.