Organization Active NPI

Splendor Mountain Spa Inc

  • Contractor
  • Glenwood Springs, CO
National Provider Identifier
1053545251
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
6800 Issued in CO
Legal business name
SPLENDOR MOUNTAIN SPA INC
Practice address
506 Maple St
Glenwood Springs, CO 81601-2936
Phone
(970) 945-7454
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Ms. Susan L Wilmot
Title
Owner
Phone
(970) 945-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X 6800 CO Primary

Addresses

Primary practice location

506 Maple St
Glenwood Springs, CO 81601-2936

Mailing address

506 Maple St
Glenwood Springs, CO 81601-2936
Phone (970) 945-7454

National Provider Directory

National Provider Directory

Locations

506 Maple St
Glenwood Springs, CO 81601
Phone (970) 945-7454

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1053545251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAPLE ST",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816012936",
            "telephone_number": "970-945-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAPLE ST",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816012936",
            "telephone_number": "970-945-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLENDOR MOUNTAIN SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-945-7454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CO",
            "license": "6800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.