INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC – NPI #1093538837
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC is a provider located in GRAND JUNCTION, CO. NPPES has assigned the NPI number 1093538837 to INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC on October 31, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC below.

NPI Profile for
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI Number
1093538837
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Primary location
2643 PATTERSON RD STE 603
GRAND JUNCTION, CO 81506-1937
Phone: (970) 298-3801 Fax: (970) 232-2660
Mailing address
500 ELDORADO BLVD STE 4300
BROOMFIELD, CO 80021-3564
Phone: (303) 272-0566 Fax:
Organization Subpart
Yes - INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC is subpart of another organization.
Authorized Official
JON MCDANIEL
VP FINANCE
Phone: (303) 272-0231
Updated
Certification Date
Oct 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
103TA0400X
- Psychologist / Addiction (Substance Use Disorder)

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.