VVMC DIVERSIFIED SERVICES (NPI# 1962029447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962029447 |
| Entity Type | Organization |
| Organization Name | VVMC DIVERSIFIED SERVICES |
| Other Organization Name | VAIL HEALTH CLINIC |
| Practice Address |
822 W 4th St Leadville CO 80461-3861 |
| Mailing Address |
Po Box 40000 Vail CO 81658-7520 |
| Practice Telephone | 9704791110 |
| Mailing Telephone | 9704762451 |
| Mailing Fax Number | 9704706548 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | JOHN D HIGGINS (SVP CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9704795131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiovascular Center | Doing Business As Name - Organization |
| Vail Health Clinic | 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 |
| 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 |
| 1881809457 | Vvmc Diversified Services | Specialist | 322 Beard Creek Road, Edwards, CO 81632 | 2007-05-14 |
| 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 |
822 W 4TH ST |
| City | LEADVILLE |
| State | CO |
| Zip Code | 80461-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226291 | Charles Warren Lackey | Family Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2005-06-23 |
| 1366051039 | Catholic Health Initiatives Colorado | Internal Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2020-07-28 |
| 1699393835 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 822 W 4th St, Leadville, CO 80461-3861 | 2020-07-13 |
| 1093135063 | St. Vincent General Hospital District | Family Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2014-04-17 |
| 1457689291 | St. Vincent Home Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 822 W 4th St, Suite A, Leadville, CO 80461-3861 | 2009-12-04 |
| 1225249949 | John M Jennings | Physician Assistant | 822 W 4th St, Leadville, CO 80461-3861 | 2007-05-24 |
| 1649204918 | William L Bradshaw Jr. | Family Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2006-07-10 |
| 1184689721 | St. Vincent General Hospital District | Home Health | 822 W 4th St, Leadville, CO 80461-3861 | 2006-04-18 |
| 1457315152 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W 4th St, Leadville, CO 80461 | 2006-04-12 |
| 1285609867 | Heather Damon | Physician Assistant | 822 W 4th St, Leadville, CO 80461-3861 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336579143 | Molly Monahan | Acupuncturist | 135 E 13th St, Leadville, CO 80461 | 2013-11-14 |
| 1821329251 | Sarah R Cohn | Physician Assistant | 223 Harrison Ave, Leadville, CO 80461 | 2010-01-25 |
| 1003008681 | Barbara Lynn Marcum | Registered Nurse | 511 Harrison, Leadville, CO 80461 | 2007-08-16 |
| 1992855811 | Kevin Geoffrey King | Chiropractor | 135 East 13 St., Leadville, CO 80461 | 2007-01-11 |
| 1235202524 | Cloud City Medical Inc | Durable Medical Equipment & Medical Supplies | 735 Highway 24 South, Suite A, Leadville, CO 80461 | 2006-11-16 |
| 1417029141 | Joseph Douglas Yeakel | Specialist | 1760 County Rd 36, Leadville, CO 80461 | 2006-11-15 |
| 1467481309 | Teresa Michelle Haynes | Counselor | Leadville Professional Building, 735 Hwy 24 South, Suite B, Leadville, CO 80461 | 2006-07-02 |
| 1497710958 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W 4th Street, Leadville, CO 80461 | 2006-04-19 |
| 1891750436 | St. Vincent General Hospital District | General Acute Care Hospital | 822 West 4th Street, Leadville, CO 80461 | 2006-04-18 |
| 1396743050 | Jacqueline Ann Duba | Physician Assistant | 825 W 6th St, Leadville, CO 80461 | 2005-07-07 |
| Find all providers in zip 80461 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051039 | Catholic Health Initiatives Colorado | Internal Medicine | 822 W 4th St, Leadville, CO 80461-3861 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604257 | Healthone Heart Care LLC | Internal Medicine | 310 County Rd, Suite 14, Del Norte, CO 81132 | 2020-09-21 |
| 1659987063 | Healthone Heart Care LLC | Internal Medicine | 1444 S Potomac St Ste 310, Aurora, CO 80012-4508 | 2020-09-21 |
| 1225644834 | Healthone Heart Care LLC | Internal Medicine | 1421 S Potomac St Ste 315, Aurora, CO 80012-4512 | 2020-09-18 |
| 1750995247 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 32135 Castle Ct Ste 100a, Evergreen, CO 80439-8005 | 2020-09-02 |
| 1518570977 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1960 N Ogden St Ste 540a, Denver, CO 80218-3666 | 2020-08-26 |
| 1982213328 | Catholic Health Initiatives Colorado | Internal Medicine | 1000 Granby Park Dr, Granby, CO 80446-0000 | 2020-07-30 |
| 1437768009 | Catholic Health Initiatives Colorado | Internal Medicine | 920 Rush Dr Ste A, Salida, CO 81201-9669 | 2020-07-29 |
| 1437768124 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 3655 Lutheran Pkwy Ste 201, Wheat Ridge, CO 80033-6010 | 2020-07-28 |
| 1952927527 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2330, Brighton, CO 80601-4003 | 2020-06-19 |
| 1013539113 | Poudre Valley Medical Group, LLC | Internal Medicine | 328 S Bonaventure Ave Ste 2, Trinidad, CO 81082-2086 | 2020-05-12 |
| 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.