GRAND JUNCTION RENAL REHAB CLINIC – NPI #1194446492
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

GRAND JUNCTION RENAL REHAB CLINIC is a provider located in GRAND JUNCTION, CO. NPPES has assigned the NPI number 1194446492 to GRAND JUNCTION RENAL REHAB CLINIC on September 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAND JUNCTION RENAL REHAB CLINIC” is a dba name, the actual legal business name for this organization is INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

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 GRAND JUNCTION RENAL REHAB CLINIC below.

NPI Profile for
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI Number
1194446492
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): GRAND JUNCTION RENAL REHAB CLINIC
Primary location
2643 PATTERSON RD STE 405
GRAND JUNCTION, CO 81506-1937
Phone: (970) 298-5920 Fax: (970) 372-1710
Mailing address
500 ELDORADO BLVD STE 4300
BROOMFIELD, CO 80021-3564
Phone: (303) 272-0566 Fax: (303) 272-0390
Organization Subpart
Yes - GRAND JUNCTION RENAL REHAB CLINIC is subpart of another organization.
Authorized Official
JON MCDANIEL
VP FIANCE
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.

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.