NPIMap

Vail Clinic, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Frisco, CO

NPI 1093461998 · NPPES record last updated Jan 8, 2025

Key facts

NPI
1093461998
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
VAIL CLINIC, INC.
Practice address
100 Basecamp Way Ste 105
Frisco, CO 80443-5967
Phone
(970) 476-1225
NPI assigned
Mar 1, 2022
Organization subpart
Yes
Parent organization (as reported)
VAIL CLINIC, INC.

Authorized official

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

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 29

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

View all 29

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 117

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vail Health Hospital
Vail, CO · CCN 060096		 Hospital Operational/Managerial Control Feb 7, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220408000570 CO DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Independently-Practicing Occupational Therapist		 3577475714 Practice locations: Frisco, CO

National Provider Directory

Tax ID family
Vail Valley Med Center (30 organizations share this tax ID)
Part of
Vail Valley Med Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

100 Basecamp Way Ste 105
Frisco, CO 80443-5967

Mailing address

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

Other names

  • Howard Head Sports Medicine at Frisco Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) Vail Clinic, Inc.

Other providers in Frisco, CO

All providers in Frisco, CO · Durable Medical Equipment & Medical Supplies in Colorado

Sources for this page

Verify at the official NPI Registry.