NPIMap

Organization Active NPI

St. Mary's Hospital and Medical Center, Inc.

Doing business as Intermountain Health St Mary's Regional Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
National Provider Identifier
1699716027
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
011160 Issued in CO
Legal business name
ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC.
Doing business as
Intermountain Health St Mary's Regional Hospital
Practice address
2635 N 7TH St
Grand Junction, CO 81501-8209
Phone
(970) 298-2273
Fax
(303) 272-0277
NPI assigned
Jun 9, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Vincent Donohue
Title
Avp Finance
Phone
(970) 298-7133

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 011160 CO Primary
Ambulance 341600000X NU
Air Ambulance 3416A0800X A002 CO
Air Ambulance 3416A0800X 3005L UT
Land Ambulance 3416L0300X 39-14-16 CO

Addresses

Primary practice location

2635 N 7TH St
Grand Junction, CO 81501-8209

Mailing address

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-2273

Other identifiers 2

IdentifierTypeStateIssuer
06060016MedicaidCO
05023007MedicaidCO

Other names 1

  • Intermountain Health St Mary's Regional Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071205000395 CO Part A Provider - Hospital 1557267069 3 other NPIs on this enrollment
Practice locations: Rifle, CO; Montrose, CO; Grand Junction, CO
O20071205000409 CO Part A Provider - Hospital 1557267069 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grand Junction, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1699716027. Details of each certification follow.

Hospital certification: CCN 060023

Legal name
ST MARYS HOSPITAL AND MEDICAL CENTER INC
Doing business as
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 25, 2015
Beds
346
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1975 in CO
Enrollment address
2635 N 7TH St
Grand Junction, CO 81501-8209
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 06T023

Legal name
ST MARYS HOSPITAL AND MEDICAL CENTER INC
Doing business as
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1975 in CO
Enrollment address
2635 N 7TH St
Grand Junction, CO 81501-8209
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Intermountain Health St. Mary's Regional HospitalCCN 060023 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St. Marys Hospital and Medical Center IncCCN 06T023 · All quality measures
Ownership
Non-profit
Certified
Jun 1, 1996

National Provider Directory

National Provider Directory
Part of
Sisters of Charity of Leavenworth Health System Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2635 N 7th St
Ste 404B
Grand Junction, CO 81501

750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7500

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tom Benton Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate DirectorBoard Member Jan 1, 2021
Mark C Griffin Individual Corporate DirectorBoard Member Jan 1, 2020
Corporate DirectorBoard Member Jan 2, 2020
John Merrick Taggart Individual Corporate DirectorBoard Member Jan 1, 2024
Amy Lynn Davis Individual Corporate DirectorBoard Member Jan 1, 2024
Teyen P. Shiao Individual Corporate DirectorBoard Member Mar 1, 2025
Angela Padalecki Individual Corporate DirectorBoard Member Jan 1, 2023
Jeffrey Taets Individual Corporate DirectorBoard Member Jan 1, 2021
Vincent Donohue Individual Corporate Director Jan 1, 2025
W-2 Managing Employee Jan 1, 2025
Corporate OfficerAvp Finance Jan 1, 2025
W-2 Managing EmployeeAvp Finance Jan 1, 2025
Vance Wagner Individual Corporate DirectorBoard Member Jan 1, 2018
Timothy Foster Individual Corporate Director May 1, 2023
Corporate DirectorBoard Member May 1, 2023
Sisters of Charity of Leavenworth Health System Inc Organization, Broomfield, CO Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Dec 19, 1972 100%
5% Or Greater Direct Ownership Interest Dec 19, 1972
Bryan Johnson Individual Corporate OfficerPresident Aug 9, 2019
Corporate DirectorPresident Aug 9, 2019
W-2 Managing EmployeePresident Aug 9, 2019
Intermountain Health Care, Inc Organization, Salt Lake City, UT Non-profit, Chain home office Operational/Managerial Control Apr 1, 2022
Lenna Watson Individual Corporate DirectorBoard Member Jan 1, 2020
Corporate Director Jan 1, 2020
Brian Hill Individual Corporate DirectorBoard Member Jul 1, 2022
Joseph Carlson Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 123

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.

View all 123

Affiliated clinicians 717

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 717

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1699716027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018209",
            "telephone_number": "970-298-2273",
            "fax_number": "303-272-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018209",
            "telephone_number": "970-298-2273",
            "fax_number": "303-272-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "AVP FINANCE",
        "authorized_official_telephone_number": "970-298-7133"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "011160",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "CO",
            "license": "A002",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "UT",
            "license": "3005L",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "39-14-16",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06060016",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05023007",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health St Mary's Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.