| St Mary's Regional Hospital Integrated Addiction Medicine | |
|
2698 Patterson Rd Grand Junction CO 81506-8818 | |
| (970) 298-3801 | |
| Not Available |
| Full Name | St Mary's Regional Hospital Integrated Addiction Medicine |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 2698 Patterson Rd, Grand Junction, Colorado |
| Authorized Official Name and Position | Terri L Chinn (VP FINANCE) |
| Authorized Official Contact | 9702982020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mary's Regional Hospital Integrated Addiction Medicine 2698 Patterson Rd Grand Junction CO 81506-8818 Ph: (970) 298-3801 | St Mary's Regional Hospital Integrated Addiction Medicine 2698 Patterson Rd Grand Junction CO 81506-8818 Ph: (970) 298-3801 |
| NPI Number | 1649820481 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649820481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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