MARILLAC CLINIC, INC is a federally qualified health center (fqhc) clinic center in Grand Junction, CO. MARILLAC CLINIC, INC NPI is 1902471295. The provider is registered as an organization entity type.
The provider's business location address is:
562 29 RD
GRAND JUNCTION, CO
ZIP 81504-901
Phone: (970) 200-1600
The provider's authorized official is Lata Ramachandran .
The authorized official title is Ceo and has the following contact phone number (970) 200-1629.
The CLIA number assigned to this NPI record is 06D0519260 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.