MARILLAC CLINIC, INC
MARILLAC CLINIC, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104275882, based in Grand Junction, CO. It is classified under Federally Qualified Health Center (FQHC).
Getting there
The practice address on file is 510 29 1/2 RD, Grand Junction, CO 81504. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 18U295 | CO | Federally Qualified Health Center (FQHC) primary |
This provider holds licence 18U295 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Federally Qualified Health Center (fqhc)
- PAC ID
- 1052634748
- Enrollment ID
- O20190617000583
Medicare enrolment is recorded as approved under the provider type Part A Provider - Federally Qualified Health Center (fqhc). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104275882 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 3, 2016 |
| Last updated | Aug 5, 2025 |
| Status | Active |
| Practice address |
510 29 1/2 RD Grand Junction, CO 81504 (970) 200-1600 Fax (970) 200-1611 |
| Mailing address |
2333 N 6TH ST Grand Junction, CO 81501 |
| Other identifiers |
27421767
· Medicaid (CO) 72071362 · Medicaid (CO) 15522865 · Medicaid (CO) 90252365 · Medicaid (CO) 38402068 · Medicaid (CO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 2 | 7 | 5 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 4 | 7 | 1 | 8 | 7 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.