Organization
MARILLAC CLINIC, INC.
Active
Organization
MARILLAC CLINIC, INC.
Active
Other names
GJHS Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LATA RAMACHANDRAN (CEO)
(970) 200-1600
Entity
Organization
Contact information
Practice address
1400 N 5TH ST RM A116, GRAND JUNCTION, CO 81501-7527
(970) 200-1600
(970) 692-8301
Mailing address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 231-1294
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up