VVMC DIVERSIFIED SERVICES (NPI# 1225299316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225299316 |
| Entity Type | Organization |
| Organization Name | VVMC DIVERSIFIED SERVICES |
| Other Organization Name | BREAST CARE CLINIC |
| Practice Address |
180 S Frontage Road West Suite 306 Vail CO 81657 |
| Mailing Address |
Po Box 40000 C/o Administration Vail CO 81658 |
| Practice Telephone | 9705697656 |
| Practice Fax Number | 9704706689 |
| Mailing Telephone | 9704795125 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | JOHN D HIGGINS (SVP CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9704795131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Breast Care Clinic | Doing Business As Name - Organization |
| Plastic Surgery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 322 Beard Creek Road, Edwards, CO 81632 | 9705697656 | 9704706689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255708053 | Vvmc Diversified Services | Clinic/Center | 230 Chapel Square, Avon, CO 81620 | 2015-08-27 |
| 1962029447 | Vvmc Diversified Services | Internal Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2020-06-30 |
| 1881143840 | Vvmc Diversified Services | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632 | 2016-09-30 |
| 1629401328 | Vvmc Diversified Services | Internal Medicine | 322 Beard Creek Road, Edwards, CO 81632 | 2013-08-16 |
| 1326222027 | Vvmc Diversified Services | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2007-12-18 |
| 1881809457 | Vvmc Diversified Services | Specialist | 322 Beard Creek Road, Edwards, CO 81632 | 2007-05-14 |
| 1730279712 | Vvmc Diversified Services | Specialist | 320 Beard Creek Road, Edwards, CO 81632 | 2006-10-13 |
| 1750478459 | Vvmc Diversified Services | Surgery | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | VVMC Diversified Services | 181 W Meadow Dr Ste 100, Vail, CO 81657 |
| Street Address |
180 S FRONTAGE ROAD WEST SUITE 306 |
| City | VAIL |
| State | CO |
| Zip Code | 81657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| 1295952760 | Gayle L Braunholtz | Emergency Medicine | 181 West Meadow Drive, Vail, CO 81657 | 2007-04-19 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1861721565 | Heidi Archer M.d. P.C. | Specialist | 352 E Meadow Dr, Vail, CO 81657-4507 | 2009-12-09 |
| 1063627735 | Weiss Medical Associates, PC | Specialist | 3971 Big Horn Rd, Suite 7dd, Vail, CO 81657-4783 | 2007-05-14 |
| 1306213012 | Danielle Lowthian | Specialist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2015-08-28 |
| 1598984908 | Maureen Bridget Corcoran | Specialist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2007-04-24 |
| 1669594321 | Deborah Soward | Specialist | 13801 E Benson Hwy, Vail School District #20 Special Education Office, Vail, AZ 85641-9074 | 2007-04-04 |
| 1093870552 | Patricia H Hardenbergh | Specialist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
| 1619577582 | Steadman Clinic Professional LLC | Specialist | 401 Castle Creek Rd Ste 2100, Aspen, CO 81611-1159 | 2020-10-29 |
| 1336746643 | Kaitlin Sisk | Specialist | 1405 S Broadway St, Boulder, CO 80305-6723 | 2020-10-08 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1154928950 | Valley View Hospital Association | Specialist | 101 Founders Place, Suites 104 & 105, Aspen, CO 81611 | 2020-10-05 |
| 1689281727 | Nichole Romero | Specialist | 1000 N 9th St Ste 41, Grand Junction, CO 81501-3153 | 2020-09-23 |
| 1043835507 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 12000 Pecos St Ste 250, Westminster, CO 80234-3491 | 2020-06-10 |
| 1144845603 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 9950 W 80th Ave Ste 14, Arvada, CO 80005-3914 | 2020-06-10 |
| 1437774908 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 1660 S Albion St Ste 907, Denver, CO 80222-4046 | 2020-06-10 |
| 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.