Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Medical Specialty Clinic/Center · Craig, CO

NPI number 1245843481 Active

Practice location

785 Russell St
Craig, CO 81625-2019

Fax (970) 298-3190

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: 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).

8 other providers at this address

NPI record

NPI: 1245843481
Entity type: Organization (Type 2)
Issued: Aug 27, 2020
Last updated: Sep 17, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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Craig Neurosurgery Outreach Clinic · doing business as

Authorized official

Jon McDaniel
VP Finance Medical Group
(303) 272-0231

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245843481

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1245843481, issued on Aug 27, 2020. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Craig, CO. The record was last updated on Sep 17, 2024.