MOUNTAIN FAMILY HEALTH CENTERS (NPI# 1992291405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992291405 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN FAMILY HEALTH CENTERS |
| Other Organization Name | MOUNTAIN FAMILY HEALTH CENTERS EAGLE FAMILY PLANNING |
| Practice Address |
551 Broadway Eagle CO 81631-0850 |
| Mailing Address |
2700 Gilstrap Ct Ste 230 Glenwood Springs CO 81601-8735 |
| Practice Telephone | 9709452840 |
| Practice Fax Number | 9709451055 |
| Mailing Fax Number | 9709459581 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | ROSS BROOKS (CEO) |
| Authorized Official Telephone | 9709281609 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAIN FAMILY HEALTH CENTERS |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Family Health Centers Eagle Family Planning | Doing Business As Name - Organization |
| 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 |
| 1053819045 | Mountain Family Health Centers | Clinic/Center | 20 Eagle County Rd, El Jebel, CO 81623-9125 | 2018-01-25 |
| 1972933992 | Mountain Family Health Centers | Clinic/Center | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2013-11-13 |
| Street Address |
551 BROADWAY |
| City | EAGLE |
| State | CO |
| Zip Code | 81631-0850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956512 | Shannon Michelle Wagner | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2020-06-12 |
| 1518414267 | Marivel Martinez Cuevas | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2016-09-09 |
| 1598119356 | Eagle County Health and Human Services | Public Health or Welfare | 551 Broadway, Eagle, CO 81631 | 2016-04-19 |
| 1700259850 | Olimpia Michelle Valencia | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-11-10 |
| 1801263819 | Joy Lynel Ariel | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-08-25 |
| 1316329915 | Anne M Shainholtz | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-06-19 |
| 1306236138 | Geralyn Carroll | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2015-02-02 |
| 1013337260 | Jennie L. Wahrer | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2014-04-25 |
| 1477835783 | Brianna Marie Hiland | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2011-09-13 |
| 1225360878 | Anne Pauline Robinson | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
| 1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
| 1780125252 | Brendan Quinn | Pharmacist | 264 Fulford Drive, Eagle, CO 81631 | 2017-03-16 |
| 1710428883 | Eagle Orthodontics, PC | Dentist | 011 Eagle Park Dr., Eagle, CO 81631 | 2017-03-09 |
| Find all providers in zip 81631 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118073 | Sunrise Community Health | Clinic/Center | 2880 Monroe Ave, Loveland, CO 80538-3274 | 2020-09-15 |
| 1538772892 | Valley-wide Health Systems, Inc. | Clinic/Center | 204 Carson Ave, Alamosa, CO 81101-2342 | 2020-08-26 |
| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| 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.