Healthcare Provider Details

I. General information

NPI: 1699716027
Provider Name (Legal Business Name): ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 N 7TH ST
GRAND JUNCTION CO
81501-8209
US

IV. Provider business mailing address

2635 N 7TH ST
GRAND JUNCTION CO
81501-8209
US

V. Phone/Fax

Practice location:
  • Phone: 970-298-2273
  • Fax: 303-272-0277
Mailing address:
  • Phone: 970-298-2273
  • Fax: 303-272-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number011160
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License NumberA002
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number3005L
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number39-14-16
License Number StateCO

VIII. Authorized Official

Name: VINCENT DONOHUE
Title or Position: AVP FINANCE
Credential:
Phone: 970-298-7133