VAIL CLINIC, INC. (NPI# 1225017643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225017643 |
Entity Type | Organization |
Organization Name | VAIL CLINIC, INC. |
Other Organization Name | VAIL HEALTH PHARMACY |
Practice Address |
322 Beard Creek Rd Edwards CO 81632-6426 |
Mailing Address |
Po Box 2706 Edwards CO 81632-2706 |
Practice Telephone | 9705697676 |
Practice Fax Number | 9705697677 |
Mailing Telephone | 9705697676 |
Mailing Fax Number | 9705697677 |
Enumeration Date | 2006-01-13 |
Last Update Date | 2018-06-16 |
Authorized Official Name | SURESH BOODRAM (PHARM MGN) |
Authorized Official Telephone | 9705697676 |
Authorized Official Credential | RPH., MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PDO.1470000002 | CO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 03003720 | 05 | |
PK | 2003237 | 01 |
Other Name | Type Code |
---|---|
Edwards Medical Center Pharmacy | Doing Business As Name - Organization |
Vail Health Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538716741 | Vail Clinic, Inc. | Clinic/Center | 52 Lundgren Blvd, Gypsum, CO 81637 | 2019-08-22 |
1699322800 | Vail Clinic, Inc. | Clinic/Center | 505 South Main Street, Breckenridge, CO 80424 | 2019-08-22 |
1497302749 | Vail Clinic, Inc. | Clinic/Center | 410 Mcgregor Road, Gypsum, CO 81637 | 2019-08-21 |
1093361842 | Vail Clinic, Inc. | Clinic/Center | 1280 Village Rd, Avon, CO 81620 | 2019-08-16 |
1295381390 | Vail Clinic, Inc. | Clinic/Center | 126 Riverfront Lane, Suite 101, Avon, CO 81620 | 2019-08-14 |
1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
1386725406 | Vail Clinic, Inc. | Specialist | 1252 County Rd 8, Keystone, CO 80435 | 2006-10-17 |
1023621299 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Road, Edwards, CO 81632-6426 | 2020-08-28 |
1083261283 | Vail Clinic, Inc. | Clinic/Center | 265 Tanglewood Lane, Silverthorne, CO 80498 | 2019-08-22 |
1588211791 | Vail Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 370, Frisco, CO 80443 | 2019-08-22 |
Street Address |
322 BEARD CREEK RD |
City | EDWARDS |
State | CO |
Zip Code | 81632-6426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750905055 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2020-06-02 |
1144876251 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2019-08-14 |
1659840155 | Annegret A Kessler | Dietitian, Registered | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2018-11-14 |
1376086769 | Steadman Clinic Professional LLC | Orthopaedic Surgery | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2016-12-02 |
1881143840 | Vvmc Diversified Services | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632 | 2016-09-30 |
1871762955 | Catherine P Mast | Registered Nurse | 322 Beard Creek Rd, Edwards, CO 81632 | 2008-02-22 |
1821135153 | Dennis Jay Lipton | Internal Medicine | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2007-01-30 |
1932255510 | Rebecca Adochio | Internal Medicine | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2007-01-26 |
1124193586 | Colleen Deirdre Ihnken | Nurse Practitioner | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2006-11-21 |
1154412898 | Patrick Keogh | Emergency Medicine | 322 Beard Creek Rd, Suite 200, Edwards, CO 81632-1749 | 2006-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
Find all providers in zip 81632 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1942433198 | Battlement Grocery LLC | Pharmacy | 71 Sipprelle Dr, Parachute, CO 81635-9232 | 2009-09-03 |
1255470795 | Denver Health and Hospital Authority | Pharmacy | 790 Delaware St, Denver, CO 80204-4532 | 2007-02-05 |
1821024258 | The Apothecary | Pharmacy | Wardenburg Health Center, Campus Box 119, Boulder, CO 80309-0001 | 2006-06-25 |
1053357855 | Medical Center of The Rockies | Pharmacy | Boulder Health Center Pharmacy, 5495 East Arapahoe Road Suite 101, Boulder, CO 80303 | 2006-06-21 |
1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
1003436536 | Frda Apothecary | Pharmacy | 6801 W 20th St Unit 208, Greeley, CO 80634-9640 | 2020-04-24 |
1356995716 | Elevate Clinical Pharmacology Services LLC | Pharmacy | 4020 Palmer Park Blvd Ste 101b, Colorado Springs, CO 80909-3402 | 2019-07-24 |
1164883955 | Denver Health & Hospital Authority | Pharmacy | 1339 S Federal Blvd, Denver, CO 80219-4235 | 2016-03-08 |
Find all providers with the same taxonomy |
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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.