institution
Marillac Clinic, Inc
Federally Qualified Health Center (FQHC) in Grand Junction, Colorado
NPI 1104275882

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 1104275882 and holds a License No. (Colorado).

The current practice location address for Marillac Clinic, Inc is 510 29 1/2 Rd, Grand Junction, CO and can be reached out via phone at 970-298-1782 and via fax at 970-298-1711.

Location: 510 29 1/2 Rd, Grand Junction, CO, 81501-2001
institution
Provider Profile Details
NPI Number
1104275882
Provider Name
Marillac Clinic, Inc
Credential
Provider Entity Type
Organization
Address
510 29 1/2 Rd, Grand Junction, CO, 81501-2001
Phone Number
970-298-1782
Fax Number
970-298-1711
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15522865 05 CO
27421767 05 CO
72071362 05 CO
90252365 05 CO
38402068 05 CO
institution
Provider Business Practice Location Address Details
Address
510 29 1/2 Rd
City
State
Zip
81504
Phone Number
970-298-1782
Fax Number
970-298-1711
person
Provider Business Mailing Address Details
Address
510 29 1/2 Rd
City
State
Zip
81504
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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