SOPRIS MEDICAL PRACTICE, P.C. (NPI# 1386879831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386879831 |
Entity Type | Organization |
Organization Name | SOPRIS MEDICAL PRACTICE, P.C. |
Practice Address |
1450 E Valley Rd Suite 101 Basalt CO 81621-8304 |
Practice Telephone | 9799271444 |
Practice Fax Number | 9709271450 |
Mailing Telephone | 9799271444 |
Mailing Fax Number | 9709271450 |
Enumeration Date | 2009-05-27 |
Last Update Date | 2009-05-27 |
Authorized Official Name | DR. BRUCE KEEFE BOWEN (OWNER) |
Authorized Official Telephone | 9709271444 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 37578 | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | COLORADO LICENSE | 37578 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Sopris Medical Practice, P.C. | 218 East Valley Rd, Suite 104--pmb 311, Carbondale, CO 81623 |
Street Address |
1450 E VALLEY RD SUITE 101 |
City | BASALT |
State | CO |
Zip Code | 81621-8304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992708622 | Karen Cross Locke | Family Medicine | 1450 E Valley Rd, Unit 101, Basalt, CO 81621-8352 | 2005-05-27 |
1427670504 | Valley View Hospital Association | Internal Medicine | 1450 E Valley Rd, Basalt, CO 81621-8304 | 2020-05-12 |
1518361070 | Jarid Patrick Rollins | Social Worker | 1450 E Valley Rd, Unit 102, Basalt, CO 81621-8352 | 2014-10-13 |
1497993547 | Locke Aesthetics LLC | Family Medicine | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 | 2009-01-28 |
1710136395 | Grace Song | Physician Assistant | 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 | 2008-09-18 |
1508039926 | Heidi Mitchell | Physical Therapy Assistant | 1450 E Valley Rd, Suite 203, Basalt, CO 81621-8304 | 2008-04-07 |
1780853085 | Rachael K Wymer | Physician Assistant | 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 | 2008-02-21 |
1376711135 | Orthopaedic Associates of Aspen and Glenwood | Specialist | 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 | 2008-02-14 |
1548448533 | Orthopaedic Associates of Aspen and Glenwood | Specialist | 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 | 2008-02-01 |
1295866770 | Roaring Fork Physical Therapy, PC | Physical Therapist | 1450 E Valley Rd, Suite 203, Basalt, CO 81621-8352 | 2007-03-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
1972925691 | Kristin Lynne Werner | Counselor | 207 Basalt Center Circle, Suite 201, Basalt, CO 81621 | 2014-01-15 |
1831449008 | Jody Powell | Naturopath | 189 Basalt Center Cir, Basalt, CO 81621 | 2012-09-14 |
1619274263 | Marcus Blue | Dentist | 227 Midland Avenue, Suite C-6, Basalt, CO 81621 | 2011-02-17 |
1669790572 | Win Health Institute, LLC | Health Maintenance Organization | 110 Midland Avenue, Suite 2, Basalt, CO 81621 | 2010-05-17 |
1730320557 | Frederick Elias Persiko | Counselor | 23400 Two Rivers Road, #49, Basalt, CO 81621 | 2009-03-09 |
1235305467 | Rachel Cherie Carey | Specialist | 1460 East Valley Road, Suite 101, Basalt, CO 81621 | 2008-05-07 |
1679697973 | Thomas Robert Lankering | Chiropractor | 189 Basalt Center Circle, Basalt, CO 81621 | 2007-03-19 |
1598850166 | Locke Family Medicine, LLC | Family Medicine | 1450 East Valley Road, Suite 101, Basalt, CO 81621 | 2006-10-03 |
1013925098 | Karen Chrisholm Stevenson | Physical Therapist | 1450 E Valley Road, Ste 203, Basalt, CO 81621 | 2006-08-04 |
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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 |
---|---|---|---|---|
1174028252 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 151 Cottonwood Dr, Basalt, CO 81621-8345 | 2018-03-29 |
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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.