GRAND MESA NEPHROLOGY PLLC NPI 1154633220

NPI Information

  • NPI: 1154633220
  • Provider Name: GRAND MESA NEPHROLOGY PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 06D1107393
  • Address: 2748 CROSSROADS BLVD
    GRAND JUNCTION, CO
    ZIP 81506
  • Phone: (970) 255-0919

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NPI Details

GRAND MESA NEPHROLOGY PLLC is a nephrology internal medicine in Grand Junction, CO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. GRAND MESA NEPHROLOGY PLLC NPI is 1154633220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2748 CROSSROADS BLVD
GRAND JUNCTION, CO
ZIP 81506-933
Phone: (970) 255-0919
Fax: (970) 255-0901

The provider's authorized official is Grace E Kim .
The authorized official title is President and has the following contact phone number (406) 248-5511.

The CLIA number assigned to this NPI record is 06D1107393 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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