Organization Active NPI

Town Clinic of Crested Butte, PLLC

  • Primary Care Clinic/Center
  • Crested Butte, CO
National Provider Identifier
1255632907
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOWN CLINIC OF CRESTED BUTTE, PLLC
Practice address
214 6TH St.
Suite 1
Crested Butte, CO 81224-1546
Phone
(303) 319-5631
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Eric James Thorson, M.D.
Title
Physician and Office Manager
Phone
(303) 319-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

214 6TH St.
Suite 1
Crested Butte, CO 81224-1546

Mailing address

PO Box 1546
214 6TH St. Suite 1
Crested Butte, CO 81224-1546
Phone (303) 319-5631

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1255632907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "address_2": "214 6TH ST. SUITE 1",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241546",
            "telephone_number": "303-319-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 6TH ST.",
            "address_2": "SUITE 1",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241546",
            "telephone_number": "303-319-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CLINIC OF CRESTED BUTTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "THORSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN AND OFFICE MANAGER",
        "authorized_official_telephone_number": "303-319-5631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.