MOUNTAIN FAMILY HEALTH CENTERS (NPI# 1235292293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235292293 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN FAMILY HEALTH CENTERS |
| Practice Address |
562 Gregory Street Black Hawk CO 80422 |
| Mailing Address |
1905 Blake Ave Suite 101 Glenwood Springs CO 81601-4288 |
| Practice Telephone | 3035825276 |
| Practice Fax Number | 3035821003 |
| Mailing Telephone | 9709452840 |
| Mailing Fax Number | 9709452893 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | MR. ROSS A BROOKS (CEO) |
| Authorized Official Telephone | 9709452840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
0040 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05600812 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1811483134 | Mountain Family Health Centers | Clinic/Center | 100 Beaver Creek Blvd, Avon, CO 81620-3149 | 2018-07-10 |
| 1003328840 | Mountain Family Health Centers | Clinic/Center | 100 E 2nd St., Parachute, CO 81635 | 2017-11-02 |
| 1861904666 | Mountain Family Health Centers | Clinic/Center | 741 Tamarisk Trl Rm 104, Parachute, CO 81635-9753 | 2017-11-02 |
| 1548613409 | Mountain Family Health Centers | Clinic/Center | 0850 West Beaver Creek Blvd, Avon, CO 81620 | 2016-07-15 |
| 1578625174 | Mountain Family Health Centers | Clinic/Center | 20 E. Lakeview Dr., Suite 205, Nederland, CO 80466-0009 | 2006-12-14 |
| 1477552388 | Mountain Family Health Centers | Clinic/Center | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4288 | 2005-07-21 |
| 1467451336 | Mountain Family Health Centers | Clinic/Center | 562 Gregory St, Black Hawk, CO 80422-0066 | 2005-07-21 |
| 1992291405 | Mountain Family Health Centers | Clinic/Center | 551 Broadway, Eagle, CO 81631-0850 | 2018-07-09 |
| 1053819045 | Mountain Family Health Centers | Clinic/Center | 20 Eagle County Rd, El Jebel, CO 81623-9125 | 2018-01-25 |
| Street Address |
562 GREGORY STREET |
| City | BLACK HAWK |
| State | CO |
| Zip Code | 80422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508970823 | Kim H Irving | Registered Nurse | 562 Gregory Street, Black Hawk, CO 80422 | 2006-08-17 |
| 1629194410 | Carol Joan Holdcroft | Nurse Practitioner | 562 Gregory Street, Black Hawk, CO 80422 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053863704 | Hi-tech Hearing | Hearing Instrument Specialist | 420 Gregory Street, Black Hawk, CO 80422 | 2016-10-28 |
| 1164759726 | Gilpin Ambulance Authority | Ambulance | 495 Apex Rd, Black Hawk, CO 80422 | 2009-11-03 |
| 1609022391 | Anna Einwiller | Massage Therapist | 972 Golden Gate Canyon Rd., Black Hawk, CO 80422 | 2008-08-13 |
| 1548320906 | Kuder Enterprise | Chiropractor | 135 Clear Creek St, Blackhawk, CO 80422 | 2006-12-08 |
| 1740213792 | Gilpin Ambulance Inc. | Ambulance | 416 Gregory St, Black Hawk, CO 80422 | 2006-07-09 |
| 1215240924 | Heather Kuder | Chiropractor | 135 Clear Creek Street, Black Hawk, CO 80422 | 2010-07-22 |
| 1780650093 | Michael Paul Ellis | Family Medicine | 562 Gregory St, Black Hawk, CO 80422 | 2006-02-27 |
| 1477639979 | Katherine Louise Drapeau | Family Medicine | 562 Gregory St., Black Hawk, CO 80422-0066 | 2006-10-27 |
| 1467451336 | Mountain Family Health Centers | Clinic/Center | 562 Gregory St, Black Hawk, CO 80422-0066 | 2005-07-21 |
| 1790923670 | Rena Susan Derezin | Counselor | 135 Clear Creek Street, Black Hawk, CO 80422-0418 | 2009-01-30 |
| Find all providers in zip 80422 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451336 | Mountain Family Health Centers | Clinic/Center | 562 Gregory St, Black Hawk, CO 80422-0066 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613409 | Mountain Family Health Centers | Clinic/Center | 0850 West Beaver Creek Blvd, Avon, CO 81620 | 2016-07-15 |
| 1437575792 | Summit Community Care Clinic, Inc. | Clinic/Center | 158 School Road, Frisco, CO 80443 | 2014-03-11 |
| 1588080956 | Summit Community Care Clinic, Inc. | Clinic/Center | 0108 Deerpath Road, Dillon, CO 80435 | 2014-03-10 |
| 1821414293 | Summit Community Care Clinic, Inc. | Clinic/Center | 101 Hamilton Creek Road, Silverthorne, CO 80498 | 2014-03-10 |
| 1093901332 | Colorado Wellness Connection, LLC | Clinic/Center | 4960 E Mineral Cir, Centennial, CO 80122-3833 | 2007-09-20 |
| 1750592655 | Open Bible Medical Clinic | Clinic/Center | 555 E Costilla St, Colorado Springs, CO 80903-3764 | 2007-05-24 |
| 1972650307 | Lifehealth LLC | Clinic/Center | 5554 South Prince St, Suite 131, Littleton, CO 80120 | 2007-01-05 |
| 1578625174 | Mountain Family Health Centers | Clinic/Center | 20 E. Lakeview Dr., Suite 205, Nederland, CO 80466-0009 | 2006-12-14 |
| 1073693677 | Northwest Colorado Visiting Nurse Association | Clinic/Center | 745 Russell Steet, Craig, CO 81625-2019 | 2006-10-17 |
| 1730126558 | Christian Healing Network | Clinic/Center | 2125 E La Salle St, Colorado Springs, CO 80909-2274 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
| City | BLACK HAWK |
| Zip Code | 80422 |
Please comment or provide details below to improve the information on MOUNTAIN FAMILY HEALTH CENTERS.
| 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.