NPIMap

Organization Active NPI

VVMC Diversified Services

Doing business as Urgent Care

  • Urgent Care Clinic/Center
  • Avon, CO
National Provider Identifier
1255708053
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VVMC DIVERSIFIED SERVICES
Doing business as
Urgent Care
Practice address
230 Chapel Square
Avon, CO 81620
Phone
(970) 476-2451
Fax
(970) 470-6663
NPI assigned
Aug 27, 2015
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
John D Higgins
Title
SVP Chief Financial Officer
Phone
(970) 479-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

230 Chapel Square
Avon, CO 81620

Mailing address

PO Box 40,000
C/O Administration
Vail, CO 81658
Phone (970) 479-7272

Other names 1

  • Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080919000433 CO Part B Supplier - Clinic/Group Practice 8628145414 Receives reassigned benefits from 26 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vail, CO; Loveland, CO; Leadville, CO; Greeley, CO; Edwards, CO; Fort Collins, CO; Aurora, CO; Eagle, CO…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations

230 Chapel Sq
Avon, CO 81620
Phone (970) 949-7198

320 Beard Creek Rd
Ste 200
Edwards, CO 81632

108 S Frontage Rd W
Ste 206
Vail, CO 81657
Phone (970) 306-5089

108 S Frontage Rd W
Ste 306
Vail, CO 81657

181 W Meadow Dr
Ste 500
Vail, CO 81657
Phone (970) 479-7800

181 W Meadow Dr
Ste 5900
Vail, CO 81657

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1255708053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40,000",
            "address_2": "C/O ADMINISTRATION",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81658",
            "telephone_number": "970-479-7272",
            "fax_number": "970-470-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHAPEL SQUARE",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-476-2451",
            "fax_number": "970-470-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVMC DIVERSIFIED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SVP CHIEF FINANCIAL  OFFICER",
        "authorized_official_telephone_number": "970-479-5131"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.