NPIMap

Organization Active NPI

Mountain Family Health Centers

Doing business as Mountain Family Health Centers Mobile Dental Van

  • Federally Qualified Health Center (FQHC)
  • Glenwood Springs, CO
National Provider Identifier
1053819045
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNTAIN FAMILY HEALTH CENTERS
Doing business as
Mountain Family Health Centers Mobile Dental Van
Practice address
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Jan 25, 2018
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN FAMILY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Annette Franta, CFO
Title
Chief Financial Officer
Phone
(970) 928-1636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206

Mailing address

2700 Gilstrap CT Ste 230
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840

Other practice location 1

20 Eagle County Rd
El Jebel, CO 81623-9125
Phone (970) 945-2840

Other names 1

  • Mountain Family Health Centers Mobile Dental Van Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain Family Health Centers14 organizations share this tax ID, including this one
Part of
Mountain Family Health Centers

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

20 Eagle County Rd
El Jebel, CO 81623
Phone (970) 309-2064

2700 Gilstrap Ct
Ste 230
Glenwood Springs, CO 81601

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1053819045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GILSTRAP CT STE 230",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018735",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014206",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Eagle County Rd",
            "address_purpose": "LOCATION",
            "city": "El Jebel",
            "state": "CO",
            "postal_code": "816239125",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN FAMILY HEALTH CENTERS",
        "enumeration_date": "2018-01-25",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "FRANTA",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "970-928-1636",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Family Health Centers Mobile Dental Van",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Family Health Centers Mobile Dental Van",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2022; 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.