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SCL HEALTH MEDICAL GROUP - GRAND JUNCTION LLC NPI 1356835045


NPI Information

NPI: 1356835045
Provider Name: SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 06D2233084

Address:
627 25 1/2 RD
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 242-3535
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SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC is a foot and ankle surgery podiatrist in Grand Junction, CO. SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC NPI is 1356835045. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

627 25 1/2 RD
GRAND JUNCTION, CO
ZIP 81505-401
Phone: (970) 242-3535
Fax: (970) 683-2745

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Finance Mgps and has the following contact phone number (303) 272-0231.

The CLIA number assigned to this NPI record is 06D2233084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 6/18/2018.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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: 4/28/2024

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