INTERMOUNTAIN HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY – NPI #1700510120
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

INTERMOUNTAIN HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY is a provider located in GRAND JUNCTION, CO. NPPES has assigned the NPI number 1700510120 to INTERMOUNTAIN HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY on July 12, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTERMOUNTAIN HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY” is a dba name, the actual legal business name for this organization is INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jun 28, 2024. 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 HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY below.

NPI Profile for
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI Number
1700510120
Enumeration Date

(about 4 years 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
Doing Business As (dba): INTERMOUNTAIN HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY
Primary location
2643 PATTERSON RD STE 605
GRAND JUNCTION, CO 81506-1937
Phone: (970) 298-3884 Fax: (970) 372-0955
Mailing address
500 ELDORADO BLVD STE 4300
BROOMFIELD, CO 80021-3564
Phone: (303) 272-0566 Fax: (303) 272-0390
Organization Subpart
Yes - INTERMOUNTAIN HEALTH HEART & VASCULAR -GRAND JUNCTION VASCULAR SURGERY is subpart of another organization.
Authorized Official
JON MCDANIEL
VP FINANCE
Phone: (303) 272-0231
Updated
Certification Date
Jun 28, 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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

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.