CRESTED BUTTE MEDICAL CENTER PLLC (NPI# 1588838023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588838023 |
Entity Type | Organization |
Organization Name | CRESTED BUTTE MEDICAL CENTER PLLC |
Practice Address |
12 Snowmass Rd Suite 1 Mt. Crested Butte CO 81225 |
Mailing Address |
Po Box 1850 Crested Butte CO 81224-1850 |
Practice Telephone | 9703490321 |
Mailing Telephone | 9703490321 |
Enumeration Date | 2008-04-16 |
Last Update Date | 2011-09-15 |
Authorized Official Name | PATTI KAECH (MANAGER) |
Authorized Official Telephone | 9703490321 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
30833 | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01308337 | 05 |
Street Address |
12 SNOWMASS RD SUITE 1 |
City | MT. CRESTED BUTTE |
State | CO |
Zip Code | 81225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669094702 | Gunnison Valley Hospital | Clinic/Center | 12 Snowmass Road #100, Crested Butte, CO 81225 | 2020-05-12 |
1134754153 | Gunnison Valley Hospital | Clinic/Center | 12 Snowmass Road, #100, Crested Butte, CO 81225 | 2020-03-10 |
1528404266 | Linda J Olesen | Massage Therapist | 16 Snowmass Rd #12, Mt Crested Butte, CO 81225 | 2013-05-21 |
1326276783 | Thomas P Moore Md Phd PC | Orthopaedic Surgery | 32 Crested Mt. Way, Mt. Crested Butte, CO 81225 | 2009-06-24 |
1205001658 | Kenneth Howard Reynolds | Internal Medicine | 24 Whetstone Dr, Mount Crested Butte, CO 81225 | 2008-04-28 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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City | MT. CRESTED BUTTE |
Zip Code | 81225 |
Please comment or provide details below to improve the information on CRESTED BUTTE MEDICAL CENTER PLLC.
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.