VVMC DIVERSIFIED SERVICES (NPI# 1881809457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881809457 |
| Entity Type | Organization |
| Organization Name | VVMC DIVERSIFIED SERVICES |
| Other Organization Name | VAIL VALLEY OB GYN ASSOCIATES |
| Practice Address |
322 Beard Creek Road Edwards CO 81632 |
| Mailing Address |
Po Box 848997 Boston MA 02284-8997 |
| Practice Telephone | 9705693850 |
| Practice Fax Number | 9705697756 |
| Mailing Telephone | 9707772834 |
| Mailing Fax Number | 9707772929 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-04-29 |
| Authorized Official Name | MR. CHARLES W CREVLING (CFO) |
| Authorized Official Telephone | 9704797238 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAIL CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 48758531 | 05 |
| Other Name | Type Code |
|---|---|
| Vail Valley OB Gyn Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255708053 | Vvmc Diversified Services | Clinic/Center | 230 Chapel Square, Avon, CO 81620 | 2015-08-27 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1962029447 | Vvmc Diversified Services | Internal Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2020-06-30 |
| 1881143840 | Vvmc Diversified Services | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632 | 2016-09-30 |
| 1629401328 | Vvmc Diversified Services | Internal Medicine | 322 Beard Creek Road, Edwards, CO 81632 | 2013-08-16 |
| 1326222027 | Vvmc Diversified Services | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2007-12-18 |
| 1730279712 | Vvmc Diversified Services | Specialist | 320 Beard Creek Road, Edwards, CO 81632 | 2006-10-13 |
| 1750478459 | Vvmc Diversified Services | Surgery | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | VVMC Diversified Services | 181 W Meadow Dr Ste 100, Vail, CO 81657 |
| Street Address |
322 BEARD CREEK ROAD |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023083334 | Julie Fisher Current | Physician Assistant | 322 Beard Creek Road, Suite 200, Edwards, CO 81632 | 2006-02-21 |
| 1023621299 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Road, Edwards, CO 81632-6426 | 2020-08-28 |
| 1629401328 | Vvmc Diversified Services | Internal Medicine | 322 Beard Creek Road, Edwards, CO 81632 | 2013-08-16 |
| 1558534941 | Krista Lee Voytilla | Pharmacist | 322 Beard Creek Road, Edwards, CO 81632-2559 | 2008-04-08 |
| 1124212568 | Jenifer R Kruse | Dietitian, Registered | 322 Beard Creek Road, Suite 1300, Edwards, CO 81632 | 2007-08-29 |
| 1477500098 | Stephanie Drew | Physical Therapist | 322 Beard Creek Road, Edwards, CO 81632 | 2006-05-28 |
| 1700848223 | Victoria H. Mohr | Obstetrics & Gynecology | 322 Beard Creek Road, Suite 200, Edwards, CO 81632 | 2006-04-03 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1386781169 | Vail Valley Ear Nose and Throat Group | Specialist | 105 Edwards Village Blvd Unit C202, Edwards, CO 81632-9914 | 2007-01-31 |
| 1932170339 | Sharon Hollis | Specialist | 1140 Edwards Vill Blvd, B208, Edwards, CO 81632-4828 | 2006-02-01 |
| 1124290358 | Mangat Plastic Surgery Center | Specialist | 56 Edwards Village Blvd, Suite 226, Edwards, CO 81632 | 2008-03-27 |
| 1730279712 | Vvmc Diversified Services | Specialist | 320 Beard Creek Road, Edwards, CO 81632 | 2006-10-13 |
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|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
| 1619577582 | Steadman Clinic Professional LLC | Specialist | 401 Castle Creek Rd Ste 2100, Aspen, CO 81611-1159 | 2020-10-29 |
| 1336746643 | Kaitlin Sisk | Specialist | 1405 S Broadway St, Boulder, CO 80305-6723 | 2020-10-08 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1154928950 | Valley View Hospital Association | Specialist | 101 Founders Place, Suites 104 & 105, Aspen, CO 81611 | 2020-10-05 |
| 1689281727 | Nichole Romero | Specialist | 1000 N 9th St Ste 41, Grand Junction, CO 81501-3153 | 2020-09-23 |
| 1043835507 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 12000 Pecos St Ste 250, Westminster, CO 80234-3491 | 2020-06-10 |
| 1144845603 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 9950 W 80th Ave Ste 14, Arvada, CO 80005-3914 | 2020-06-10 |
| 1437774908 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 1660 S Albion St Ste 907, Denver, CO 80222-4046 | 2020-06-10 |
| 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.