MARILLAC CLINIC, INC
NPI 1902471295
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Junction, CO

Active since May 20, 2021
562 29 1/2 RD, GRAND JUNCTION, CO 81504(970) 200-1600 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About MARILLAC CLINIC, INC

This page provides the complete NPI Profile along with additional information for Marillac Clinic, Inc, a primary care provider established in Grand Junction, Colorado operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1902471295 assigned on May 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Lata Ramachandran (Ceo)

NPI
1902471295 Verify this NPI
Provider Name
MARILLAC CLINIC, INC
Other Name Type
(6)
Entity Type
Organization
Location Address
562 29 1/2 RD GRAND JUNCTION, CO 81504
Location Phone
(970) 200-1600
Mailing Address
2333 N 6TH ST GRAND JUNCTION, CO 81501
Mailing Phone
(970) 200-1600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2021
Last Update Date
08-28-2025
Code Navigator

A primary care provider (PCP) like Marillac Clinic, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LATA RAMACHANDRAN

Authorized Official Title
CEO
Authorized Official Phone
(970) 200-1629

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902471295, enumerated as an "organization" on May 20, 2021.

The provider is located at 562 29 1/2 RD GRAND JUNCTION, CO 81504 and the phone number is (970) 200-1600.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).