VAIL CLINIC, INC. (NPI# 1710144159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710144159 |
| Entity Type | Organization |
| Organization Name | VAIL CLINIC, INC. |
| Other Organization Name | VAIL VALLEY HOME HEALTH AND MOUNTAIN HOSPICE |
| Practice Address |
320 Beard Creek Road Edwards CO 81632 |
| Mailing Address |
Po Box 40,000 Vail CO 81658-7520 |
| Practice Telephone | 9705697455 |
| Practice Fax Number | 9705697454 |
| Mailing Telephone | 9705697455 |
| Mailing Fax Number | 9705697454 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | MARCHITA (MARKEY) MAY BUTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9705697455 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | VAIL CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| Y | 251G00000X | Hospice Care, Community Based | 17095C | CO | Agencies |
| Other Name | Type Code |
|---|---|
| Vail Valley Home Health and Mountain Hospice | 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 |
| 1225017643 | Vail Clinic, Inc. | Pharmacy | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2006-01-13 |
| 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 |
| 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 |
| 1326222027 | Vvmc Diversified Services | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2007-12-18 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1568094076 | Life Choice Hospice of Colorado, LLC | Hospice Care, Community Based | 3760 E 15th St Ste 201, Loveland, CO 80538-7011 | 2020-02-12 |
| 1518515287 | Solaris Hc Co Inc | Hospice Care, Community Based | 150 Morning Sun Dr Ste 202, Woodland Park, CO 80863-9160 | 2019-08-27 |
| 1578121059 | Lumicare Health Co 1 LLC | Hospice Care, Community Based | 6200 S Syracuse Way Ste 200, Greenwood Village, CO 80111-4739 | 2019-05-30 |
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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.