Marillac Clinic, Inc. is a Dental Clinic in Grand Junction, Colorado. It is located at 2333 N 6th St, Grand Junction, CO and its contact number is 970-298-1782. The authorized person for Marillac Clinic, Inc. is Ms. Lata Ramachandran
who is Executive Director of the clinic and their contact number is 970-298-2235. The primary license number for Marillac Clinic, Inc. is 18U295 (Federally Qualified Health Center (FQHC)) in Colorado. Marillac Clinic, Inc. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Marillac Clinic, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Marillac Clinic, Inc.
Specialization:
General Practice Dentistry
Clinic Address:
2333 N 6th St, Grand Junction, Colorado, 81501
Phone:
970-298-1782
Fax:
970-298-6314
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Lata Ramachandran
Position:
Executive Director
Contact Number:
970-298-2235
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Marillac Clinic, Inc. clinic are as mentioned below.
NPI Number:
1518239219
NPI Enumeration Date:
27 Jan, 2012
NPI Last Update On:
21 Sep, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marillac Clinic, Inc. are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
18U295
Colorado
Primary
General Practice
Secondary
Family Medicine
Secondary
Physician Assistant
Secondary
Nurse Practitioner
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38402068
Medicaid
Colorado
72071362
Medicaid
Colorado
15522865
Medicaid
Colorado
27421767
Medicaid
Colorado
90252365
Medicaid
Colorado
39400247
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, Colorado
Zip:
81501-2001
Phone Number:
970-298-2235
Fax Number:
970-298-1711
Patients can reach Marillac Clinic, Inc. at 2333 N 6th St, Grand Junction, Colorado or can call to book an appointment on 970-298-1782. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.