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INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI 1093538837
Family Medicine - Addiction Medicine in Grand Junction, CO

Active since October 31, 2024
2643 PATTERSON RD STE 603, GRAND JUNCTION, CO 81506(970) 298-3801(970) 232-2660 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intermountain Medical Group Grand Junction, Llc NPPES

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

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC (NPI 1093538837), doing business as Grand Junction Integrative Addiction Medicine Clinic, is a healthcare organization registered as an addiction medicine in Grand Junction, Colorado and active in the NPI registry since October 2024. The organization lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1093538837
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Location Address2643 PATTERSON RD STE 603Grand Junction, CO 81506-1937
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566
Phone(970) 298-3801
Fax(970) 232-2660
Organization SubpartYesParent: Intermountain Front Range, Inc
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1093538837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
2643 PATTERSON RD STE 603, Grand Junction, CO 81506
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Other Names 1

Doing Business AsGrand Junction Integrative Addiction Medicine Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

AMY WITTE FNP
Nurse Practitioner (Family)
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (970) 298-3801
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Pediatrics
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (303) 226-7230
RYAN JACKMAN M.D.
Family Medicine (Addiction Medicine)
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (970) 298-3801
DR. KATHERINE MARIE ZYBACH MD
Pediatrics
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (970) 298-7440
UNIVERSITY PHYSICIANS INCORPORATED
Pediatrics (Pediatric Cardiology)
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (970) 241-9694
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (800) 243-3839
MICHELE WILLIS M.D.
Psychiatry & Neurology (Addiction Medicine)
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (970) 298-3801
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Pediatrics
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506
Mesa County (970) 298-7440

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 Intermountain Medical Group Grand Junction, LLC's NPI number?

The NPI number for Intermountain Medical Group Grand Junction, LLC is 1093538837. It was assigned to this organization in the NPPES registry on October 31, 2024. The provider is doing business as Grand Junction Integrative Addiction Medicine Clinic.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 2643 Patterson Rd Ste 603, Grand Junction, CO 81506. The listed phone number is (970) 298-3801.

What is Intermountain Medical Group Grand Junction, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Grand Junction, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.