NPIMap

Organization Active NPI

Vail Clinic Inc

Doing business as Avon Outpatient Services

  • Clinic/Center
  • Avon, CO
National Provider Identifier
1295381192
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VAIL CLINIC INC
Doing business as
Avon Outpatient Services
Practice address
50 Buck Creek Rd
Suite 100
Avon, CO 81620-5428
Phone
(970) 949-6100
NPI assigned
Aug 15, 2019
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
VAIL CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

50 Buck Creek Rd
Suite 100
Avon, CO 81620-5428

Mailing address

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

Other names 1

  • AVON OUTPATIENT SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000224 CO Part B Supplier - Clinic/Group Practice 3577475714 Receives reassigned benefits from 206 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eagle, CO; Edwards, CO; Frisco, CO; Gypsum, CO; Steamboat Springs, CO; Vail, CO; Dillon, CO; Breckenridge, CO…

Other NPIs on the same Medicare enrollment 23

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

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2300505Vail Clinic Inc - Avon Outpatient Services50 Buck Creek Rd, #100, Avon, CO 81620RegistrationJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Eagle Care Medical Clinic30 organizations share this tax ID, including this one
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.

View all 29

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1295381192",
    "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": "50 BUCK CREEK RD",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-949-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAIL CLINIC INC",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVON OUTPATIENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AVON OUTPATIENT SERVICES",
            "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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.