# ST MARY'S HOSPITAL AND MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
- **Other names:** St. Mary's Family Medicine Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093338840
- **Legal business name:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
- **Authorized official:** TERRI L CHINN (VP OF FINANCE)
- **Authorized official phone:** (970) 298-2020

## Contact information

- **Practice address:** 2698 PATTERSON RD UNIT 42, GRAND JUNCTION, CO 81506-8818
- **Practice address phone:** (970) 298-2800
- **Practice address fax:** (970) 298-6902
- **Mailing address:** 2698 PATTERSON RD UNIT 42, GRAND JUNCTION, CO 81506-8818
- **Mailing address phone:** (970) 298-2800
- **Mailing address fax:** (970) 298-6902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 05/27/2020
- **Last updated:** 01/03/2024