Organization Active NPI

Win Hbo

  • Clinic/Center
  • Basalt, CO
National Provider Identifier
1093945685
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WIN HBO
Practice address
1460 E Valley Rd
104
Basalt, CO 81621-8411
Phone
(970) 384-8447
Fax
(970) 384-8480
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Mr. Kirk Douglas Hartley, CHWS,DMT-A,B.S.
Title
Clinical Director
Phone
(970) 927-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1460 E Valley Rd
104
Basalt, CO 81621-8411

Mailing address

1460 E Valley Rd
104
Basalt, CO 81621-8411
Phone (970) 927-4950

Other names 1

  • Colorado Center for Hyperbaric Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221020000075 CO Part B Supplier - Clinic/Group Practice 2365818192 Receives reassigned benefits from 2 practitioners
Practice locations: Basalt, CO

National Provider Directory

National Provider Directory

Locations

1460 E Valley Rd
Ste 104
Basalt, CO 81621
Phone (970) 384-8447

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1093945685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E VALLEY RD",
            "address_2": "104",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218411",
            "telephone_number": "970-927-4950",
            "fax_number": "877-433-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E VALLEY RD",
            "address_2": "104",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218411",
            "telephone_number": "970-384-8447",
            "fax_number": "970-384-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIN HBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "970-927-4950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHWS,DMT-A,B.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Center for Hyperbaric Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.