SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC


Address: 450 Williams Way, Moab, UT 84532-2185
Phone: 4357193500

SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC (NPI# 1649883547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649883547
Entity Type Organization
Organization Name SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC
Practice Address 450 Williams Way
Moab
UT 84532-2185
Practice Telephone 4357193500
Practice Fax Number 4357193529
Mailing Telephone 4357193500
Mailing Fax Number 4357193529
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Authorized Official Name JON MCDANIEL (VP FINANCE MEDICAL GROUP)
Authorized Official Telephone 3032720231
Is Organization Subpart Y
Parent Organization Name SCL HEALTH FRONT RANGE, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SMMG Satellite - Medical Oncology Moab Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285248054 Scl Health Medical Group - Grand Junction, LLC Internal Medicine 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 2020-08-31
1396358578 Scl Health Medical Group - Grand Junction, LLC Neurological Surgery 350 Market St Unit 1, Basalt, CO 81621-7410 2020-08-26
1497368674 Scl Health Medical Group - Grand Junction, LLC Internal Medicine 2643 Patterson Rd Ste 406, Grand Junction, CO 81506-1937 2020-08-26
1548873722 Scl Health Medical Group - Grand Junction, LLC Physical Medicine & Rehabilitation 2686 Patterson Rd Unit 41, Grand Junction, CO 81506-8817 2020-08-26
1821695370 Scl Health Medical Group - Grand Junction, LLC Internal Medicine 296 Stafford Ln, Delta, CO 81416-2243 2020-10-07
1174120125 Scl Health Medical Group - Grand Junction, LLC Family Medicine 2503 Foresight Cir, Grand Junction, CO 81505-1139 2020-10-02
1730786971 Scl Health Medical Group - Grand Junction, LLC Surgery 2635 N 7th St, Grand Junction, CO 81501-8209 2020-10-01
1043825516 Scl Health Medical Group - Grand Junction, LLC Internal Medicine 401 Castle Creek Rd, Aspen, CO 81611-1159 2020-09-11
1437764222 Scl Health Medical Group - Grand Junction, LLC Pediatrics 2635 N 7th St, Grand Junction, CO 81501-8209 2020-09-09
1417562216 Scl Health Medical Group - Grand Junction, LLC Surgery 2635 N 7th St, Grand Junction, CO 81501-8209 2020-09-09

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities SCL Health Medical Group - Grand Junction, LLC 500 Eldorado Blvd Ste 4300, Attn Legal Services, Broomfield, CO 80021

Office Location

Street Address 450 WILLIAMS WAY
City MOAB
State UT
Zip Code 84532-2185

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700857398 Moab Valley Healthcare Inc Anesthesiology 450 Williams Way, Moab, UT 84532 2006-01-31
1255810123 Matthew Okelberry Physical Therapist 450 Williams Way, Moab, UT 84532-2185 2018-08-10
1104336528 Paul Edward Kionka Occupational Therapist 450 Williams Way, Moab, UT 84532-2185 2017-10-11
1134672371 Hannah Elizabeth Bodenhamer Physician Assistant 450 Williams Way, Moab, UT 84532-2185 2016-07-24
1063826832 Paul Michael Johnson Family Medicine 450 Williams Way, Moab, UT 84532-2185 2014-06-19
1881012235 Lauren Prest Psychiatry & Neurology 450 Williams Way, Moab, UT 84532-2185 2014-04-02
1023454683 Kimberly Franke Orthopaedic Surgery 450 Williams Way, Moab, UT 84532-2185 2013-05-21
1316288814 James Walling Radiology Practitioner Assistant 450 Williams Way, Moab, UT 84532-2065 2013-03-07
1578858171 Michael A Kueber Jr. Emergency Medicine 450 Williams Way, Moab, UT 84532-2185 2011-06-13
1811289416 Laird Ian Clark Nurse Anesthetist, Certified Registered 450 Williams Way, Moab, UT 84532-2185 2011-05-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386254316 Andrew Soliz II Case Manager/Care Coordinator 48 N Shields Lane, Moab, UT 84532 2020-08-04
1023655420 William Douglas Wennell Registered Nurse 198 E. Center St., Moab, UT 84532 2019-12-04
1295219962 Jordan Johnson Case Manager/Care Coordinator 48 N. Shields Lane, Moad, UT 84532 2018-09-19
1659851681 Grand County Emergency Medical Services Special Service District Ambulance 520 E 100 N, Moab, UT 84532 2018-08-20
1265937072 Byron Clifton Palmer Dentist 2700 Us-191, Suite 1, Moab, UT 84532 2018-03-26
1902290588 Katherine O'reilly Advanced Practice Midwife 51 North Mt.peale, Moab, UT 84532 2015-03-23
1235548108 Tiffany Lee Ann Van Sickle Case Manager/Care Coordinator 198 E Center St., Moab, UT 84532 2014-08-05
1881991701 Canyonlands Health Care Special Service District Nursing Facility/Intermediate Care Facility 390 W Williams Way, Moab, UT 84532 2011-02-14
1518267459 Advance Medical Services, Inc Durable Medical Equipment & Medical Supplies 1105 South Highway Building 1, Moab, UT 84532 2010-10-26
1164694691 Kenneth B Lindsay Case Manager/Care Coordinator 48 North Shields, Moab, UT 84532 2008-03-25
Find all providers in zip 84532

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881123172 Scott Marriner Browning Internal Medicine 2318 E Field Rose Dr, Salt Lake City, UT 84121-1500 2017-06-08
1356745137 University of Utah Adult Services Internal Medicine 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 2014-10-22
1982049227 Bryan D Huber Internal Medicine 8th Avenue & C Street E8, Salt Lake City, UT 84143-3403 2013-04-30
1851631139 Central Utah Clinic, P.C. Internal Medicine 2019 E Riverside Dr, Suite A200, St George, UT 84790-8134 2013-02-22
1285929430 Brandt L Esplin Internal Medicine 1055 N 500 W Ste 202, Bldg C, Provo, UT 84604-8460 2011-06-16
1457664005 Sabarinath Venniyil Radhakrishna Internal Medicine 2000 Circle of Hope, Suite 2100, Huntsman Cancer Institute, Salt Lake City, UT 84112 2010-07-23
1427273705 Utah Hematology Oncology PC Internal Medicine 4403 Harrison Blvd Ste 1685, Ogden, UT 84403-3274 2007-04-13
1225164114 Finn Bo Petersen Internal Medicine E8 Lds Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143-0001 2007-02-26
1124172697 Justin A Call Internal Medicine 3592 W 9000 S, Ste 200, West Jordan, UT 84088-8812 2007-01-22
1164524864 Jay C Bott Internal Medicine 177 S 240 W, Orem, UT 84058-3052 2006-09-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City MOAB
Zip Code 84532

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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