Organization
ST MARY'S HOSPITAL AND MEDICAL CENTER, INC
Active
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Other names
Pathways Family Wellness 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 FINANCE)
(970) 298-2020
Entity
Organization
Contact information
Practice address
562 29 RD, GRAND JUNCTION, CO 81504-8901
(970) 985-7467
(970) 666-5125
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
10/26/2021
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