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MARILLAC CLINIC, INC.
NPI 1780399154
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Junction, CO

Active since January 19, 2023
360 W PARK DR, GRAND JUNCTION, CO 81505(970) 200-1600(970) 692-8301 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marillac Clinic, Inc. NPPES

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

MARILLAC CLINIC, INC. (NPI 1780399154) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Junction, Colorado and active in the NPI registry since January 2023. The organization lists Lata Ramachandran, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780399154
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARILLAC CLINIC, INC.
Location Address360 W PARK DRGrand Junction, CO 81505-1618
Mailing Address2333 N 6th StGrand Junction, CO 81501-2001 · (970) 200-1600
Phone(970) 200-1600
Fax(970) 692-8301
Organization SubpartNo
Authorized OfficialLata RamachandranCeo · (970) 200-1600
Enumeration DateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
✔ NPI 1780399154 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
360 W PARK DR, Grand Junction, CO 81505
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Other Providers at the Same Location NPPES 10

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

DR. MARY E WILLY DO
Pediatrics
360 W PARK DR, SUITE 201
GRAND JUNCTION, CO 81505
Mesa County (970) 609-7337
EMMA CRICK
Physician Assistant
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (970) 298-3050
DR. CARL L ROUCH M.D.
Internal Medicine (Interventional Cardiology)
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (970) 244-2482
ALEXANDRA LEVESQUE
Physician Assistant
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (970) 298-3050
ZACHARY ROBERT PERKINS
Nurse Practitioner
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (970) 298-3050
ANNEST SYNN NOWAK & MUBARAK PROFESSIONAL LLC
Specialist
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (970) 852-4847
DIVLEEN SIDHU
Internal Medicine (Cardiovascular Disease)
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (970) 298-3050
KEVIN VIPUL DESAI
Internal Medicine (Cardiovascular Disease)
360 W PARK DR
GRAND JUNCTION, CO 81505
Mesa County (303) 272-0644

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 1780399154. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Marillac Clinic, Inc. located?

Marillac Clinic, Inc. is located at 360 W Park Dr, Grand Junction, CO 81505. 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.

When was this NPI record last updated?

The NPPES record for Marillac Clinic, Inc. was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.