Marillac Clinic, Inc.

NPI #1710760343 in Montrose, Colorado

Provider Information

NPI Number
1710760343
Entity Type
Organization
Organization Name
Marillac Clinic, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 16, 2023
Last Updated
Feb 18, 2025

Practice Location

Address
87 MERCHANT DR
ZIP Code
81401-3015
Phone
(970) 200-1600

Authorized Official

Name
LATA RAMACHANDRAN
Title
CEO
Phone
(970) 200-1629

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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