Organization
ST MARY'S HOSPITAL AND MEDICAL CENTER, INC
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
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Authorized official
TERRI L CHINN (VP OF FINANCE)
(970) 298-2020
Entity
Organization
Contact information
Practice address
2698 PATTERSON RD UNIT 42, GRAND JUNCTION, CO 81506-8818
(970) 298-2800
(970) 298-6902
Mailing address
2698 PATTERSON RD UNIT 42, GRAND JUNCTION, CO 81506-8818
(970) 298-2800
(970) 298-6902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
05/27/2020
Last updated
01/03/2024
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