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ST MARY'S HOSPITAL AND MEDICAL CENTER INC NPI 1275714081


NPI Information

NPI: 1275714081
Provider Name: ST MARY'S HOSPITAL AND MEDICAL CENTER, INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 06D2073275

Address:
2635 N 7TH ST
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 244-2273
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ST MARY'S HOSPITAL AND MEDICAL CENTER, INC is a hematology and oncology internal medicine in Grand Junction, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ST MARY'S HOSPITAL AND MEDICAL CENTER, INC NPI is 1275714081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2635 N 7TH ST
GRAND JUNCTION, CO
ZIP 81501-209
Phone: (970) 244-2273
Fax: (970) 255-1809

The provider's authorized official is Terri Chinn .
The authorized official title is Vp/cfo and has the following contact phone number (970) 298-2020.

The CLIA number assigned to this NPI record is 06D2073275 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/20/2007 and was last updated on 12/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RH0003XInternal MedicineHematology & OncologyYes
5207RN0300XInternal MedicineNephrologyNo
6207T00000XNeurological SurgeryNo
7207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
82080P0202XPediatricsPediatric CardiologyNo
9208100000XPhysical Medicine & RehabilitationNo
10208200000XPlastic SurgeryNo
112083X0100XPreventive MedicineOccupational MedicineNo
122086S0120XSurgeryPediatric SurgeryNo
132086S0127XSurgeryTrauma SurgeryNo
14208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
15208M00000XHospitalistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104002556MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.