NPIMap

Marillac Clinic, Inc.

A Medicare group practice based in Grand Junction, CO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1052634748), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052634748The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CO
Enrollments
4
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20150105001387 CO Part B Supplier - Clinic/Group Practice 1518239219
O20160601000384 CO Part A Provider - Federally Qualified Health Center (FQHC) 1518239219
O20231020002869 CO Part A Provider - Federally Qualified Health Center (FQHC) 1710760343
O20190617000583 CO Part A Provider - Federally Qualified Health Center (FQHC) 1104275882

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (19).

Sources for this page