Marillac Clinic, Inc - Medicare Dental Clinic in Grand Junction, CO

Marillac Clinic, Inc is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Grand Junction, Colorado. The current practice location for Marillac Clinic, Inc is 510 29 1/2 Rd, Grand Junction, Colorado. For appointments, you can reach them via phone at (970) 298-1782. The mailing address for Marillac Clinic, Inc is 2333 N 6th St, Grand Junction, Colorado and phone number is (970) 298-1782.

Marillac Clinic, Inc is licensed to practice in Colorado (license number 18U295). The clinic also participates in the medicare program and its NPI number is 1104275882. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (970) 298-1782.

Contact Information

Marillac Clinic, Inc
510 29 1/2 Rd
Grand Junction
CO 81504
(970) 298-1782
(970) 298-1711

Dental Care Clinic Profile

Full NameMarillac Clinic, Inc
SpecialityClinic/Center
Location510 29 1/2 Rd, Grand Junction, Colorado
Authorized Official Name and PositionLata Ramachandran (EXECUTIVE DIRECTOR)
Authorized Official Contact9702982235
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marillac Clinic, Inc
2333 N 6th St
Grand Junction
CO 81501-2001

Ph: (970) 298-1782
Marillac Clinic, Inc
510 29 1/2 Rd
Grand Junction
CO 81504

Ph: (970) 298-1782

NPI Details:

NPI Number1104275882
Provider Enumeration Date06/03/2016
Last Update Date09/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1052634748
Medicare Enrollment IDO20190617000583

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Medical Identifiers

Medical identifiers for Marillac Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104275882NPI-NPPES
15522865MedicaidCO
27421767MedicaidCO
72071362MedicaidCO
90252365MedicaidCO
38402068MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 18U295 (Colorado)Primary

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Dental Clinics in Grand Junction, CO

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Medicare: Not Enrolled in Medicare
Practice Location: 132 Walnut Ave, Grand Junction, CO 81501
Phone: 970-245-1758    
Elevation Family Dental
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Practice Location: 1190 Bookcliff Ave Unit 101, Grand Junction, CO 81501
Phone: 970-245-2990    
James F Goggans Dmd Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 2773 B 1/2 Rd, Ste A, Grand Junction, CO 81503
Phone: 970-257-1103    Fax: 970-257-7522
Colorado Community Dental Services
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2795 Skyline Ct, Grand Junction, CO 81506
Phone: 970-242-3545    Fax: 970-254-9849
Nyu Lutheran
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2333 N 6th St, Grand Junction, CO 81501
Phone: 970-255-1782    
Marillac Clinic, Inc.
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 302 Pitkin Ave, Grand Junction, CO 81501
Phone: 970-298-1782    Fax: 970-298-1711
Parkway Dental
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Medicare: Not Enrolled in Medicare
Practice Location: 1300 N 7th St, Grand Junction, CO 81501
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