Active NPI
Vail Clinic Inc
Doing business as Beaver Creek Medical Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Avon, CO
National Provider Identifier
1124602578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- VAIL CLINIC INC
- Doing business as
- Beaver Creek Medical Center - Service of Vail Health Hospital
- Practice address
- 1280 Village Rd Ste 324C
Avon, CO 81620-5374 - Phone
- (970) 949-0800
- NPI assigned
- May 11, 2021
- Last updated
- Jan 8, 2025
- Organization subpart
- Yes
- Parent organization
- VAIL CLINIC INC
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | Primary |
Addresses
Primary practice location
1280 Village Rd Ste 324C
Avon, CO 81620-5374
Mailing address
PO Box 840220
Kansas City, MO 64184-0220
Phone (970) 777-2850
Other names 1
- BEAVER CREEK MEDICAL CENTER - SERVICE OF VAIL HEALTH HOSPITAL
National Provider Directory
National Provider Directory- Tax ID family
- Eagle Care Medical Clinic
- Part of
- Eagle Care Medical Clinic
Other organizations with this tax ID 29
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Avon, CO
- NPI 1730747445
-
dba Shaw Cancer Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Edwards, CO
- NPI 1033793484
-
dba Beaver Creek Medical Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Avon, CO
- NPI 1093361842
-
dba Shaw Cancer Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Edwards, CO
- NPI 1144876251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1124602578",
"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": "1280 VILLAGE RD STE 324C",
"city": "AVON",
"state": "CO",
"postal_code": "816205374",
"telephone_number": "970-949-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAIL CLINIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VAIL CLINIC INC",
"enumeration_date": "2021-05-11",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"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": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BEAVER CREEK MEDICAL CENTER - SERVICE OF VAIL HEALTH HOSPITAL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BEAVER CREEK MEDICAL CENTER - SERVICE OF VAIL HEALTH HOSPITAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avon, CO
- Marcy Diane Tracy, CD(DONA), PCD(DONA)
- Andrea Joyce Tschannerl, APRN
- Alexandra Holloway Urbana, DMD
- Usacs Community Emergency Services of Colorado, Inc.
- Vail Clinic Inc (Beaver Creek Medical Center - Service of Vail Health Hospital)
- Vail Clinic Inc (Avon Outpatient Services)
- Vail Clinic Inc (Howard Head Sports Medicine at Avon)
- Vail International Physicians Prof LLC
- Vail Valley Interpreters
- Vail Valley LLC (dba comfort dental vail valley)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.