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Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM
Other names
St Mary's Medical Group, Intermountain Medical Group Grand Junction, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM
Authorized official
MR. JON MCDANIEL (VP FINANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501
(970) 298-2273
(970) 298-1809
Mailing address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 298-2273
(970) 298-1809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
CO
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
NULL
2080P0202X
Pediatric Cardiology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
NULL
2086S0120X
Pediatric Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
02/07/2014
Last updated
06/28/2024
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