NPIMap

Organization Active NPI

Marillac Clinic, Inc. Dba Primehealth

Doing business as PrimeHealthplus

  • Federally Qualified Health Center (FQHC)
  • Grand Junction, CO
National Provider Identifier
1093345886
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARILLAC CLINIC, INC. DBA PRIMEHEALTH
Doing business as
PrimeHealthplus
Practice address
550 Warrior Way
Grand Junction, CO 81504-6401
Phone
(970) 200-1600
Fax
(970) 200-1611
NPI assigned
Jan 21, 2020
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lata Ramachandran
Title
Ceo
Phone
(970) 200-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

550 Warrior Way
Grand Junction, CO 81504-6401

Mailing address

526 29 1/2 Rd
Grand Junction, CO 81504-5383
Phone (970) 200-1600

Other names 1

  • PrimeHealthplus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marillac Clinic Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 Warrior Way
Grand Junction, CO 81504
Phone (970) 200-1603

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1093345886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 29 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045383",
            "telephone_number": "970-200-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WARRIOR WAY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046401",
            "telephone_number": "970-200-1600",
            "fax_number": "970-200-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC CLINIC, INC. DBA PRIMEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "RAMACHANDRAN",
        "authorized_official_first_name": "LATA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-200-1600"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeHealthplus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.