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MARILLAC CLINIC, INC.
NPI 1063861748
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Junction, CO

Active since June 03, 2016CLIA Certified · 3 labs
3150 N 12TH ST, GRAND JUNCTION, CO 81506(970) 200-1600(970) 200-1611 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Feb 18, 2025, Sep 21, 2020 and 1 more (4 updates tracked since 2018).

About Marillac Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILLAC CLINIC, INC. (NPI 1063861748), doing business as Primehealthplus, is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Junction, Colorado and active in the NPI registry since June 2016. The organization holds 3 active CLIA laboratory certificates and lists Lata Ramachandran, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063861748
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARILLAC CLINIC, INC.
Location Address3150 N 12TH STGrand Junction, CO 81506
Mailing Address2333 N 6th StGrand Junction, CO 81501-2001 · (970) 298-1782 · Fax (970) 298-1711
Phone(970) 200-1600
Fax(970) 200-1611
Organization SubpartNo
Authorized OfficialLata RamachandranExecutive Director · (970) 200-1600
Enumeration DateJune 3, 2016
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1063861748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CO · 18U295
3150 N 12TH ST, Grand Junction, CO 81506
Open in Google Maps ↗

Other Names 1

Doing Business AsPrimehealthplus

Other Identifiers 5

Medicaid38402068CO
Medicaid72071362CO
Medicaid90252365CO
Medicaid15522865CO
Medicaid27421767CO

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2288076

Marillac Clinic Inc · Montrose, CO
Active · expires Aug 20, 2027
CLIA Number06D2288076
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorDr. David Dreitlein
Laboratory Phone(970) 200-1600
Laboratory LocationMarillac Clinic Inc87 Merchant Dr, Montrose, CO 81401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2286306

Marillac Clinic, Inc · Grand Junction, CO
Active · expires Jul 25, 2027
CLIA Number06D2286306
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDr. David Gorchoff
Laboratory Phone(970) 200-1600
Laboratory LocationMarillac Clinic, Inc2139 N 12th Street Ste 2, Grand Junction, CO 81501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0519260

Marillac Clinic, Inc Dba - Marillac Health · Grand Junction, CO
Active · expires Aug 31, 2026
CLIA Number06D0519260
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Crystal D. Owens
Laboratory Phone(970) 200-1600
Laboratory LocationMarillac Clinic, Inc Dba - Marillac Health526 29 1/2rd, Grand Junction, CO 81504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA L MOORE OT
Occupational Therapist
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 241-5856
PATRICK HENKE DO
Family Medicine
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-1220
S. CHRISTOPHER WEAVER MD
Family Medicine
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-1220
KENT E SNOWBARGER ED.D
Psychologist (Clinical)
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 242-5707
MOUNTAIN VALLEY REHABILITATION, PC
Clinic/Center (Physical Therapy)
3150 N 12TH ST, GARDEN LEVEL
GRAND JUNCTION, CO 81506
Mesa County (970) 241-5856
GARY A MILLER LCSW
Social Worker (Clinical)
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 242-5707
LACEY R ESTES PA
Physician Assistant
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-9370
VANESSA R CARTER R.D.
Dietitian, Registered
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 255-1576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marillac Clinic, Inc.'s NPI number?

The NPI number for Marillac Clinic, Inc. is 1063861748. It was assigned to this organization in the NPPES registry on June 3, 2016. The provider is doing business as PrimeHealthplus.

Where is Marillac Clinic, Inc. located?

Marillac Clinic, Inc. is located at 3150 N 12th St, Grand Junction, CO 81506. The listed phone number is (970) 200-1600.

What is Marillac Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Marillac Clinic, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Marillac Clinic, Inc. was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.