INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION LLC NPI 1285248054

NPI Information

  • NPI: 1285248054
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: ST MARY'S REGIONAL HOSPITAL NEPHROLOGY CLINIC
  • Address: 2635 N 7TH ST STE 20
    GRAND JUNCTION, CO
    ZIP 81501
  • Phone: (970) 298-7106

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NPI Details

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC 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. INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC NPI is 1285248054. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Mary's Regional Hospital Nephrology Clinic.

The provider's business location address is:

2635 N 7TH ST STE 20
GRAND JUNCTION, CO
ZIP 81501-209
Phone: (970) 298-7106
Fax: (970) 298-7177

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Finance Medical Group and has the following contact phone number (303) 272-0231.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 6/28/2024.

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?

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

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