Organization · Type 2 NPI

Marillac Clinic, Inc. dba Primehealth

Federally Qualified Health Center (FQHC) · Grand Junction, CO

NPI number 1063861748 Active

Practice location

3150 N 12th St
Grand Junction, CO 81506

Fax (970) 200-1611

Mailing address

526 29 1/2 Rd
Grand Junction, CO 81504-5383

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X18U295 (CO)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1063861748

Marillac Clinic, Inc. dba Primehealth's National Provider Identifier is 1063861748, issued on Jun 3, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grand Junction, CO. The record was last updated on Sep 21, 2026.