COLORADO MOUNTAIN MEDICAL, LLC (NPI# 1467078014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467078014 |
| Entity Type | Organization |
| Organization Name | COLORADO MOUNTAIN MEDICAL, LLC |
| Practice Address |
108 S Frontage Rd W Ste 101 Vail CO 81657-5087 |
| Mailing Address |
Po Box 4330 Avon CO 81620-4330 |
| Practice Telephone | 9709266340 |
| Practice Fax Number | 9709266348 |
| Mailing Telephone | 9708452903 |
| Mailing Fax Number | 9709266348 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | LISA KERSTIENS (PHYSICIAN RELATIONS MANGER) |
| Authorized Official Telephone | 9708452903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328320 | Colorado Mountain Medical, LLC | Counselor | 429 Edwards Access Rd Unit A207, Edwards, CO 81632-5559 | 2020-08-26 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1598381154 | Colorado Mountain Medical, LLC | Internal Medicine | 322 Beard Creek Rd Ste 1300, Edwards, CO 81632-6426 | 2020-06-19 |
| 1730747445 | Colorado Mountain Medical, LLC | Obstetrics & Gynecology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2019-05-29 |
| 1063038073 | Colorado Mountain Medical, LLC | Counselor | 230 Chapel Place, Avon, CO 81620 | 2020-06-25 |
| 1215553227 | Colorado Mountain Medical, LLC | Counselor | 230 Chapel Place, Avon, CO 81620 | 2020-06-25 |
| 1215553409 | Colorado Mountain Medical, LLC | Dermatology | 377 Sylvan Lake Road, Suite 210, Eagle, CO 81631 | 2020-06-23 |
| 1417573619 | Colorado Mountain Medical, LLC | Clinic/Center | 377 Sylvan Lake Road, Suite 210, Eagle, CO 81631 | 2020-06-23 |
| 1508482159 | Colorado Mountain Medical, LLC | Internal Medicine | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Mountain Medical, LLC | 318 Broadway Street, Eagle, CO 81631 |
| Street Address |
108 S FRONTAGE RD W STE 101 |
| City | VAIL |
| State | CO |
| Zip Code | 81657-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482159 | Colorado Mountain Medical, LLC | Internal Medicine | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1104436278 | Urgent Care Lakewood Inc | Clinic/Center | 2616 E 120th Ave, Thornton, CO 80233-1412 | 2020-08-04 |
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| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| 1861024101 | Catholic Health Initiatives Colorado | Clinic/Center | 4943 Hwy 52, Frederick, CO 80514 | 2020-02-05 |
| 1881225514 | Catholic Health Initiatives Colorado | Clinic/Center | 16320 W 64th Ave, Arvada, CO 80007-7415 | 2020-01-31 |
| 1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
| 1265080246 | Pahs Onpoint Urgent Care LLC | Clinic/Center | 9695 S Yosemite St Ste 150, Lone Tree, CO 80124-2891 | 2019-09-03 |
| Find all providers with the same taxonomy | ||||
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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.