NPIMap

Organization Active NPI

Vail Clinic Inc

Doing business as Shaw Cancer Clinic at Frisco

  • Clinic/Center
  • Frisco, CO
National Provider Identifier
1003463217
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VAIL CLINIC INC
Doing business as
Shaw Cancer Clinic at Frisco
Practice address
323 W Main St Ste 101
Frisco, CO 80443-5966
Phone
(970) 668-6400
NPI assigned
Aug 22, 2019
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
VAIL CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael G Brown
Title
SVP & Cfo
Phone
(970) 479-7272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Oncology Clinic/Center 261QX0200X NU

Addresses

Primary practice location

323 W Main St Ste 101
Frisco, CO 80443-5966

Mailing address

PO Box 840220
Kansas City, MO 64184-0220
Phone (970) 777-2850

Other names 1

  • SHAW CANCER CLINIC AT FRISCO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000224 CO Part B Supplier - Clinic/Group Practice 3577475714 Receives reassigned benefits from 206 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eagle, CO; Edwards, CO; Frisco, CO; Gypsum, CO; Steamboat Springs, CO; Vail, CO; Dillon, CO; Breckenridge, CO…
O20051212000297 CO Part A Provider - Hospital 3577475714 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Avon, CO; Edwards, CO; Vail, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003463217. Details of each certification follow.

Hospital certification: CCN 060096

Legal name
VAIL CLINIC INC
Doing business as
VAIL HEALTH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 22, 1980
Last certification
Oct 27, 2023
Beds
56
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
181 W Meadow Dr
Vail, CO 81657-5242
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
Vail Health HospitalCCN 060096 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Keystone Medical Center

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janet M Engle Individual Operational/Managerial ControlBoard Member Apr 7, 2025
Linda Pancratz Individual Corporate DirectorBoard Member Jul 1, 2023
William L Cook Individual Corporate DirectorBoard Member Jan 7, 2019
W-2 Managing EmployeeCeo Jan 7, 2019
Operational/Managerial ControlCeo Jan 7, 2019
Michael G Brown Individual Corporate OfficerVP Finance Feb 5, 2024
W-2 Managing EmployeeVP Finance Feb 5, 2024
Operational/Managerial ControlVP Finance Feb 5, 2024
Thomas M Gorrie Individual Corporate DirectorBoard Member Jul 1, 2023
Mary B Randall Individual Corporate DirectorBoard Member Jul 1, 2019
Maryjane Wruth Individual Operational/Managerial ControlBoard Member Apr 7, 2025
Kevin Rudolph Individual Corporate OfficerLegal Officer Jan 1, 2024
Vail Clinic Inc Organization, Vail, CO Corporation, Non-profit Operational/Managerial Control Feb 7, 1966
Marc J Philippon Individual Corporate DirectorBoard Member Jul 1, 2019
Andrew Daly Individual Corporate DirectorBoard Member Jul 1, 2019
Reginald J Franciose Individual Corporate DirectorBoard Member Jul 1, 2023
Ellen Moritz Individual Corporate DirectorBoard Member Oct 1, 2018
Amanda Veit Individual Corporate DirectorChief Operations Officer May 1, 2020
W-2 Managing EmployeeChief Operations Officer May 1, 2020
Operational/Managerial ControlChief Operations Officer May 1, 2020
Eric Affeldt Individual Corporate DirectorBoard Member Jul 1, 2019
Susan Kasser Individual Corporate DirectorBoard Member Jul 1, 2023
Steven D Flashner Individual Operational/Managerial ControlMedical Staff President Apr 7, 2025
Christopher Jarnot Individual Corporate DirectorBoard Member Sep 25, 2017
Arthur Kelton Individual Corporate DirectorBoard Member Jul 1, 2023
Bratzo Horruitiner Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Janet M Engle, MD
    • Pediatrics Physician
    • Eagle, CO
    • NPI 1275503682

    Operational/Managerial Control

    CMS ownership
  • Vail Clinic Inc

    dba Vail Pharmacy

    • Community/Retail Pharmacy
    • Vail, CO
    • NPI 1679552475

    Operational/Managerial Control

    CMS ownership
  • Vail Clinic, Inc.

    dba Howard Head Sports Medicine at Frisco

    • Durable Medical Equipment & Medical Supplies
    • Frisco, CO
    • NPI 1093461998

    Operational/Managerial Control

    CMS ownership
  • Vail Clinic, Inc.

    dba Howard Head Sports Medicine at Edwards

    • Durable Medical Equipment & Medical Supplies
    • Edwards, CO
    • NPI 1114673415

    Operational/Managerial Control

    CMS ownership
  • Vail Clinic, Inc.

    dba Howard Head Sports Medicine at Basalt DME

    • Durable Medical Equipment & Medical Supplies
    • Basalt, CO
    • NPI 1215670625

    Operational/Managerial Control

    CMS ownership
  • Vail Clinic, Inc.

    dba Howard Head Sports Medicine at Eagle

    • Durable Medical Equipment & Medical Supplies
    • Eagle, CO
    • NPI 1285380188

    Operational/Managerial Control

    CMS ownership
  • Vail Clinic, Inc.

    dba Vail Health Hospital

    • General Acute Care Hospital
    • Vail, CO
    • NPI 1992812333

    Operational/Managerial Control

    CMS ownership
  • Steven Flashner, MD
    • Anesthesiology Physician
    • Westwood, MA
    • NPI 1205811825

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 339

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 339

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1003463217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840220",
            "telephone_number": "970-777-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W MAIN ST STE 101",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435966",
            "telephone_number": "970-668-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAIL CLINIC INC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SVP & CFO",
        "authorized_official_telephone_number": "970-479-7272"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAW CANCER CLINIC AT FRISCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.