VVMC DIVERSIFIED SERVICES (NPI# 1326222027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326222027 |
| Entity Type | Organization |
| Organization Name | VVMC DIVERSIFIED SERVICES |
| Other Organization Name | EAGLE CARE CLINIC |
| Practice Address |
320 Beard Creek Road Edwards CO 81632 |
| Mailing Address |
Po Box 848997 Boston MA 02284-8997 |
| Practice Telephone | 9705697520 |
| Practice Fax Number | 9705697522 |
| Mailing Telephone | 9707772834 |
| Mailing Fax Number | 9707772929 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | MR. CHARLES W CREVLING (CHIEF STRATEGIC OFFICER) |
| Authorized Official Telephone | 9704797238 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAIL CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0272 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04010757 | 05 |
| Other Name | Type Code |
|---|---|
| Eagle Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255708053 | Vvmc Diversified Services | Clinic/Center | 230 Chapel Square, Avon, CO 81620 | 2015-08-27 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 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 |
| 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 |
320 BEARD CREEK ROAD |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013982339 | Vail Clinic, Inc | Home Health | 320 Beard Creek Road, Edwards, CO 81632 | 2006-02-21 |
| 1043866957 | Vail Clinic, Inc. | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2019-08-15 |
| 1386014835 | Anna J Pradka | Nurse Anesthetist, Certified Registered | 320 Beard Creek Road, Suite 100, Edwards, CO 81632-6426 | 2015-09-28 |
| 1447539861 | Vail Valley Surgery Center, LLC | Clinic/Center | 320 Beard Creek Road, Suite 100, Edwards, CO 81632 | 2011-08-16 |
| 1710144159 | Vail Clinic, Inc. | Hospice Care, Community Based | 320 Beard Creek Road, Edwards, CO 81632 | 2008-05-22 |
| 1760697254 | Monica Katherine Feagler | Counselor | 320 Beard Creek Road, Edwards, CO 81632 | 2007-05-10 |
| 1427171925 | Diane Purse | Nurse Practitioner | 320 Beard Creek Road, Edwards, CO 81632 | 2007-04-09 |
| 1730279712 | Vvmc Diversified Services | Specialist | 320 Beard Creek Road, Edwards, CO 81632 | 2006-10-13 |
| 1699886366 | Leslie E Do Pico | Nurse Anesthetist, Certified Registered | 320 Beard Creek Road, Suite 100, Edwards, CO 81632-6426 | 2006-08-31 |
| 1336109420 | Jeffrey J Rockwell | Anesthesiology | 320 Beard Creek Road, Suite 100, Edwards, CO 81632-6426 | 2006-03-24 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621299 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Road, Edwards, CO 81632-6426 | 2020-08-28 |
| 1043866957 | Vail Clinic, Inc. | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2019-08-15 |
| 1144876251 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2019-08-14 |
| 1881143840 | Vvmc Diversified Services | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632 | 2016-09-30 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1962889238 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 56 Edwards Village Blvd, Edwards, CO 81632-7802 | 2015-05-06 |
| 1316019847 | Jamie Brant Md Pllc | Clinic/Center | 320 Beard Creek Rd, Edwards, CO 81632 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
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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.