Marillac Clinic, Inc
NPI 1104275882 · Federally Qualified Health Center (FQHC) · Grand Junction, CO
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marillac Clinic, Inc is a Federally Qualified Health Center (FQHC) organization in Grand Junction, CO (NPI 1104275882).
Provider details
- NPI number
- 1104275882
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lata Ramachandran, Executive Director(970) 200-1600
- License
- 18U295 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Primehealthplus
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Marillac Clinic, Inc's NPI number?
- Marillac Clinic, Inc's National Provider Identifier (NPI) is 1104275882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marillac Clinic, Inc?
- Marillac Clinic, Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Marillac Clinic, Inc located?
- Marillac Clinic, Inc's practice location on file with NPPES is 510 29 1/2 Rd, Grand Junction, CO 81504.
- What is Marillac Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Marillac Clinic, Inc is (970) 200-1600.
- Does Marillac Clinic, Inc accept Medicare?
- Marillac Clinic, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Marillac Clinic, Inc?
- The authorized official listed on Marillac Clinic, Inc's NPPES record is Lata Ramachandran, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marillac Clinic, Inc's NPI active?
- Yes — Marillac Clinic, Inc's NPI (1104275882) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.