NPIMap

Organization Active NPI

Marillac Clinic, Inc

Doing business as MarillacHealth

  • Federally Qualified Health Center (FQHC)
  • Grand Junction, CO
National Provider Identifier
1902471295
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARILLAC CLINIC, INC
Doing business as
MarillacHealth
PrimeHealthplus
Practice address
562 29 1/2 Rd
Grand Junction, CO 81504-8901
Phone
(970) 200-1600
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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) 200-1629

Specialties & licenses 1

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

Addresses

Primary practice location

562 29 1/2 Rd
Grand Junction, CO 81504-8901

Mailing address

2333 N 6TH St
Grand Junction, CO 81501-2001
Phone (970) 200-1600

Other names 2

  • MarillacHealth Doing business as
  • 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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1902471295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-200-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 29 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815048901",
            "telephone_number": "970-200-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "RAMACHANDRAN",
        "authorized_official_first_name": "LATA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-200-1629"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MarillacHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimeHealthplus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Aug 28, 2025; 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.