institution
Marillac Clinic, Inc.
Federally Qualified Health Center (FQHC) in Grand Junction, Colorado
NPI 1093163800

Marillac Clinic, Inc. is a Federally Qualified Health Center (FQHC) based in Grand Junction, CO and is specialized in Federally Qualified Health Center (FQHC). Marillac Clinic, Inc. practices in Grand Junction, CO. The NPI Number for Marillac Clinic, Inc. is 1093163800 and holds a License No. (Colorado).

The current practice location address for Marillac Clinic, Inc. is 302 Pitkin Ave, Grand Junction, CO and can be reached out via phone at 970-298-1782 and via fax at 970-298-1711.

Location: 302 Pitkin Ave, Grand Junction, CO, 81501-2001
institution
Provider Profile Details
NPI Number
1093163800
Provider Name
Marillac Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
302 Pitkin Ave, Grand Junction, CO, 81501-2001
Phone Number
970-298-1782
Fax Number
970-298-1711
Provider Enumeration Date
06/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90252365 05 CO
15522865 05 CO
27421767 05 CO
72071362 05 CO
38402068 05 CO
institution
Provider Business Practice Location Address Details
Address
302 Pitkin Ave
City
State
Zip
81501
Phone Number
970-298-1782
Fax Number
970-298-1711
person
Provider Business Mailing Address Details
Address
302 Pitkin Ave
City
State
Zip
81501
Phone Number
970-298-1782
Fax Number
970-298-1711
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
18U295 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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