ST MARY'S HOSPITAL AND MEDICAL CENTER INC NPI 1447920228

NPI Information

ST MARY'S HOSPITAL AND MEDICAL CENTER, INC is a primary care nurse practitioner in Grand Junction, CO. ST MARY'S HOSPITAL AND MEDICAL CENTER, INC NPI is 1447920228. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pathways Family Wellness Clinic.

The provider's business location address is:

562 29 RD
GRAND JUNCTION, CO
ZIP 81504-901
Phone: (970) 985-7467
Fax: (970) 666-5125

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

The CLIA number assigned to this NPI record is 06D2229823 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2021 and was last updated on 10/26/2021.

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:

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