INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION LLC NPI 1245843481

NPI Information

  • NPI: 1245843481
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: CRAIG NEUROSURGERY OUTREACH CLINIC
  • Address: 785 RUSSELL ST
    CRAIG, CO
    ZIP 81625
  • Phone: (970) 298-3188

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NPI Details

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC is a medical specialty clinic center in Craig, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC NPI is 1245843481. The provider is registered as an organization entity type.
The provider Is Doing Business As Craig Neurosurgery Outreach Clinic.

The provider's business location address is:

785 RUSSELL ST
CRAIG, CO
ZIP 81625-019
Phone: (970) 298-3188
Fax: (970) 298-3190

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

The enumeration date for this NPI number is 8/27/2020 and was last updated on 9/17/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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