# INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** St Mary's Regional Hospital Rheumatology Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942929641
- **Legal business name:** INTERMOUNTAIN FRONT RANGE, INC.
- **Authorized official:** JON MCDANIEL (VP FINANCE)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 2635 N 7TH ST FL 4, GRAND JUNCTION, CO 81501-8209
- **Practice address phone:** (970) 298-7106
- **Practice address fax:** (970) 372-0457
- **Mailing address:** 500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2022
- **Last updated:** 06/28/2024