MARILLAC CLINIC, INC. – NPI #1093163800
Clinic/Center
MARILLAC CLINIC, INC. is an AHC clinic located in GRAND JUNCTION, CO. NPPES has assigned the NPI number 1093163800 to MARILLAC CLINIC, INC. on June 02, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARILLAC CLINIC, INC. below.
NPI Profile for
MARILLAC CLINIC, INC.
(more than 10 years ago)
GRAND JUNCTION, CO 81501 Phone: (970) 200-1600 Fax: (970) 200-1611
GRAND JUNCTION, CO 81501-2001 Phone: (970) 298-1782 Fax: (970) 298-1711
EXECUTIVE DIRECTOR
Phone: (970) 200-1600
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Identifiers for MARILLAC CLINIC, INC.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | CO | 27421767 | |
| medicaid | CO | 90252365 | |
| medicaid | CO | 38402068 | |
| medicaid | CO | 72071362 | |
| medicaid | CO | 15522865 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
CO | 18U295 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.