ST MARY'S REGIONAL HOSPITAL WOUND CARE CLINIC
NPI 1104430974
Internal Medicine in Grand Junction, CO
NPI Status: Active since August 31, 2020
Contact Information
2635 N 7TH ST
ENTRANCE 4
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 298-6307
Fax: (970) 298-7037
- Organization
- Internal Medicine
- CLIA Number: 06D2099015
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 12-20-2027
About ST MARY'S REGIONAL HOSPITAL WOUND CARE CLINIC
This page provides the complete NPI Profile along with additional information for St Mary's Regional Hospital Wound Care Clinic, an internist established in Grand Junction, Colorado operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1104430974 assigned on August 2020. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as St Mary's Regional Hospital Wound Care Clinic. The authorized official of this NPI record is Jon Mcdaniel (Vp Finance Medical Group)
- NPI
- 1104430974
- Provider Legal Name
- INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
- Other Organization Name
- ST MARY'S REGIONAL HOSPITAL WOUND CARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2635 N 7TH ST ENTRANCE 4 GRAND JUNCTION, CO 81501
- Location Phone
- (970) 298-6307
- Location Fax
- (970) 298-7037
- Mailing Address
- 2635 N 7TH ST ENTRANCE 4 GRAND JUNCTION, CO 81501
- Mailing Phone
- (970) 298-6307
- Mailing Fax
- (970) 298-7037
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-31-2020
- Last Update Date
- 06-28-2024
- Code Navigator
An internist like St Mary's Regional Hospital Wound Care Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2099015
- Facility Type
- Ambulance
- Certificate Effective Date
- December 21, 2025
- Certificate Expiration Date
- December 20, 2027
- Laboratory Director
- DR. TARA L. MARSHALL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to St Mary's Regional Hospital Wound Care Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104430974, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104430974, enumerated as an "organization" on August 31, 2020.
The provider is located at 2635 N 7TH ST ENTRANCE 4 GRAND JUNCTION, CO 81501 and the phone number is (970) 298-6307.
Internal Medicine with taxonomy code 207R00000X.
