Organization
MARILLAC CLINIC, INC
Active
Other names
MarillacHealth, PrimeHealthplus
Organization subpart
No
Provider details
NPI number
Authorized official
LATA RAMACHANDRAN (CEO)
(970) 200-1629
Entity
Organization
Contact information
Practice address
562 29 1/2 RD, GRAND JUNCTION, CO 81504-8901
(970) 200-1600
Mailing address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 200-1600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
08/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us